Schmidt D
Zentralbl Chir. 1986;111(15):889-906.
Mammary carcinoma is the most common cancer of women. A brief statistical account is followed by reference to operative techniques for mammary carcinoma, in general, and to stage-related therapy, in particular. Mention is made of the unresolved problem of systemic disease or locally delimited lesion, with latest knowledge being reported. For standard surgery to cope with stages I and II (III) modified radical mastectomy has replaced classical radical mastectomy. Adequate therapy for mammary carcinoma should be aimed not simply at enhancing survival rates but also at improving the quality of survival by achieving better aesthetic results and reducing morbidity. That objective can be accomplished by means of so-called breast-preserving techniques. Large-scale international studies have produced evidence to their curative value.
乳腺癌是女性最常见的癌症。在简要介绍统计数据之后，将概述乳腺癌的手术技术，特别是与分期相关的治疗方法。文中提及了系统性疾病或局限性病变这一尚未解决的问题，并报告了最新的相关知识。对于I期和II期（III期）乳腺癌的标准手术，改良根治性乳房切除术已取代经典根治性乳房切除术。乳腺癌的充分治疗不应仅仅旨在提高生存率，还应通过取得更好的美学效果和降低发病率来提高生存质量。这一目标可通过所谓的保乳技术来实现。大规模国际研究已证实了这些技术的治愈价值。
