J.Jpn. Surg. Soc.. 79(8): 766-767, 1978

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Report on the annual meeting

SPECIAL COMMENTS: INDICATION OF ATYPICAL (MODIFIED) RADICAL MASTECTOMY FOR BREAST CANCER

Since 1970, I have studied on the indication of atypical (modified) radical mastectomy for breast cancer supported by Ministry of Health and Welfare in Japan. For the patients of Stage I (TnM, Classification of Japan Mammary Cancer Society) Halsted's operation was done in 587 cases, atypical radical mastectomy was done in 214 cases; and 7-year relative survival rates were 91% and 94% respectively. However, I reserve the decision of the indications of both operative procedures till 3 years later.
Speakers have different opinions each other on the indication of atypical radical mastectomy, and it is too early to conclude because the cases are too few and the follow-up times are too short. Well-known workers on breast cancerーBaker R.R., Robbins G.F., Hermann R.E. and Handley R.S. assert each opinion about this problem. I think that surgeons are to take place for the present the typical or atypical radical mastectomy for breast cancer of stages (UICC, 1972)ーT₁aN0M0, T₁aN₁ aM0, T₂ aN0M0, T₂aN-aM0, to compare the 10-year relative survival rates and recurrent rates each other and to decide the indication of atypical radical mastectomy on the base of their results.

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