Kubista E
I. Universitäts-Frauenklinik, Wien, Osterreich.
Gynakol Geburtshilfliche Rundsch. 1992;32(3):138-44. doi: 10.1159/000271869.
In the last 20 years the general and operative treatment of breast cancer has changed to a large extent. The super-radical Rotter-Halstedt operation of breast cancer is past history, and also the modified radical mastectomy (Patey) is performed in fewer cases. The ablative operative therapy of breast cancer is replaced more and more by a breast-conserving operative treatment with the combination of an adjuvant local and general therapy. Adjuvant therapy is mainly understood as a hormonal treatment or polychemotherapy. A great number of randomized studies proves the efficiency of this therapeutic strategy.
在过去20年里，乳腺癌的综合治疗和手术治疗发生了很大变化。乳腺癌的超根治性Rotter-Halstedt手术已成为历史，改良根治性乳房切除术（佩蒂手术）的实施病例也越来越少。乳腺癌的根治性手术治疗越来越多地被保乳手术治疗所取代，并辅以局部和全身辅助治疗。辅助治疗主要是指激素治疗或多药化疗。大量随机研究证明了这种治疗策略的有效性。
