J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1489KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 93(9): 1199-1201, 1992

Report on the annual meeting

BREAST CONSERVATION TREATMENT FOR EARLY BREAST CANCER
－EIGHT-YEAR EXPERIENCE－

1) Department of Surgery, Mitsui Memorial Hospital, Tokyo, Japan
2) Department of Radiology, Mitsui Memorial Hospital, Tokyo, Japan

Tsunehiro Nishi1), Atsushi Fuku-uchi1), Masashi Takeuchi1), Hideaki Miyamoto1), Yuji Maruyama1), Yoshihiro Inoue2)

In the period between 1983 and 1991, we experienced 80 cases of early breast cancer treated by conservative surgery and postoperative radiotherapy. Our indications for breast conservation treatment are the size of tumor (less than 2cm), the location (more than 3cm away from the nipple) and no palpable axillary nodes. Our surgical procedures of quadrantectomy and level I and II axillary dissection are presented. The shape of the skin incision should be elliptical with the major axis radial from the nipple for good cosmetic results. The entire quadrant of the breast containing the primary carcinoma is radically removed with the superficial pectoralis fascia.
At present, one breast recurrence and two distant metastases have developed. A further follow up study is needed to prove the safety of breast conservation treatment.

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