Börner P, Heidenreich W, Majewski A
Geburtshilfe Frauenheilkd. 1975 Nov;35(11):837-45.
The management of 63 carcinomas in situ of the breast is reviewed. These 63 carcinomas in situ occurred among 575 carcinomas of the breast from 1969 to 1973. The treatment consisted of simple mastectomy. In cases of early invasion the axilla was explored by palpation of the adipose tissue for enlarged lymph nodes. None were found and no extirpation of the axillary nodes was carried out. Of 59 patients with carcinoma in situ of the breast, 3 later had a local recurrence. Two patients later died of distant metastases. In view of these inadequate results of simple mastectomy it is recommended that a modified radical mastectomy should also be done in all cases of carcinoma in situ of the breast.
对63例乳腺原位癌的治疗情况进行了回顾。这63例原位癌发生于1969年至1973年期间的575例乳腺癌中。治疗方法为单纯乳房切除术。对于早期浸润的病例，通过触诊腋窝脂肪组织探查肿大淋巴结。未发现肿大淋巴结，未进行腋窝淋巴结切除。59例乳腺原位癌患者中，3例后来出现局部复发。2例患者后来死于远处转移。鉴于单纯乳房切除术的这些不尽人意的结果，建议对所有乳腺原位癌病例均行改良根治性乳房切除术。
