McDonald A M, Simpson J S, MacIntyre J
Lancet. 1976 May 22;1(7969):1098-100. doi: 10.1016/s0140-6736(76)90063-5.
The clinical progress of 350 patients with early cancer of the breast was reviewed. In a five-year follow-up after simple mastectomy routine postoperative radiotherapy conferred no demonstrable benefit on those with histologically negative lymph-nodes. When the regional nodes were involved in the malignant process, radiotherapy led to an increased mortality in the early stages, but did reduce the incidence of local recurrence.
对350例早期乳腺癌患者的临床进展进行了回顾。在单纯乳房切除术后的五年随访中,对于组织学检查淋巴结阴性的患者,常规术后放疗未显示出明显益处。当区域淋巴结受累于恶性病变时,放疗在早期会导致死亡率增加,但确实降低了局部复发率。