Clark R M
Can Med Assoc J. 1973 Mar 3;108(5):599-602 passim.
The mortality rate for breast cancer has not changed for 40 years. The ultimate results using the various surgical techniques differ very little. Local tumour excision produces survival rates comparable with those for more radical operations. Ideal treatment should give optimal quality and quantity of survival with minimal trauma. Survival is mainly determined by the ability to live in symbiosis with the disease and in most cases clinically obvious tumours are already incurable. Clinical examination alone will not detect disease at a stage early enough for more effective treatment. Mammography and thermography can detect occult breast cancer and, in particular, thermography can be used for serial examinations in high-risk patients because the procedure is simple and without hazard.
乳腺癌死亡率40年来一直没有变化。采用各种手术技术的最终结果差异很小。局部肿瘤切除术后的生存率与更根治性手术的生存率相当。理想的治疗应在创伤最小的情况下提供最佳的生存质量和数量。生存主要取决于与疾病共生的能力，在大多数情况下，临床上明显的肿瘤已经无法治愈。仅靠临床检查无法在足够早的阶段检测出疾病以便进行更有效的治疗。乳房X线摄影和热成像可以检测出隐匿性乳腺癌，特别是热成像可用于高危患者的系列检查，因为该检查操作简单且无风险。
