Bulman A S, Cassoni A M, Ellis H
Eur J Surg Oncol. 1985 Sep;11(3):247-9.
Forty-seven patients who had local excision ('lumpectomy') and radical radiotherapy for carcinoma of the breast in 1982 were assessed at 1 year for the functional result. The appearance of both breast was identical in 34%, while in 10% serious distortion had occurred. No matchline effect or severe telangiectasia were seen, and no patient had arm oedema, restricted arm movements or severe pain. The results were not significantly better (1) following iridium implantation than external boost, (2) after periareolar rather than other incisions, and (3) in patients with small and medium rather than large breasts.
1982年接受乳房癌局部切除（“肿块切除术”）及根治性放疗的47例患者在1年后接受了功能结果评估。34%的患者双侧乳房外观相同，10%的患者出现了严重变形。未观察到对接线效应或严重的毛细血管扩张，也没有患者出现手臂水肿、手臂活动受限或严重疼痛。（1）铱植入后的结果与外照射增强相比没有显著更好；（2）乳晕周围切口后的结果与其他切口相比没有显著更好；（3）乳房中小的患者与乳房大的患者相比结果没有显著更好。
