Berndt H, Bielow V, Brunz K H, Hansche G, Hansche R, Hünerbein C, Witt K
Zentralbl Chir. 1979;104(20):1313-20.
The records of the district offices for cancer control in Berlin and Königs Wusterhausen were used in order to analyse changes in the detection and management of female breast cancer between 1955 and 1974. The proportion of new cases younger than 45 years has increased from 8 percent to about 13 percent. Since 1970 there has been an increase in stage I and a decrease of stage IV. From 1960 to 1969 only 71 percent of all patients were radically operated upon, but in 1973/74 the proportion rose to nearly 75 percent. The tendency to extend the indication for radical surgery affects elderly women (65 to 74 years) more than younger patients. Survival rate depends on clinical stage, age and mode of treatment. It can be expected that the survival rate will increase with more radical surgery.
为了分析1955年至1974年间女性乳腺癌检测和管理的变化，使用了柏林和科尼斯武斯特豪森地区癌症控制办公室的记录。45岁以下新病例的比例从8%增加到了约13%。自1970年以来，I期病例有所增加，IV期病例有所减少。1960年至1969年，所有患者中只有71%接受了根治性手术，但在1973/1974年，这一比例上升到了近75%。扩大根治性手术适应症的趋势对老年女性（65至74岁）的影响比对年轻患者的影响更大。生存率取决于临床分期、年龄和治疗方式。可以预期，随着手术更加彻底，生存率将会提高。
