Leis H P
Surg Gynecol Obstet. 1979 Jan;148(1):27-32.
Eighteen hundred and fifty-nine patients with primary carcinoma of the breast from New York Medical College-Flower and Fifth Avenue Hospitals were treated by a moderate selective surgical approach between 1950 and 1975. Seven hundred and eleven patients with potentially curable carcinoma of the breast were observed for ten or more years. Based upon strict criteria of evaluation, the series did not have an increased number of prognostically favorable cancers compared with that of other series. The results obtained were most rewarding regarding absolute gross ten year survival rates, local recurrence rates, percentage of skin grafts, management of the other breast, arm and shoulder function and cosmetic appearance, especially in relation to reconstruction of the breast in properly selected patients.
1950年至1975年间，纽约医学院-弗劳尔医院和第五大道医院采用适度选择性手术方法治疗了1859例原发性乳腺癌患者。对711例潜在可治愈的乳腺癌患者进行了10年或更长时间的观察。根据严格的评估标准，与其他系列相比，该系列中预后良好的癌症数量并未增加。就绝对总体十年生存率、局部复发率、植皮百分比、对侧乳房的处理、手臂和肩部功能以及美容外观而言，尤其是在适当选择的患者中进行乳房重建方面，所获得的结果非常令人满意。
