Durst J
Zentralbl Chir. 1977;102(20):1251-5.
Lokal recidivation rate in carcinoma of the female breast represents besides the 5- to 10-years survival rate an important parameter for primary surgical treatment. At the Chirurgische Universitätsklinik Tübingen radical mastectomy in the Rotter-Halsted technique as well as extended radical mastectomy were abandoned because they did not improve the survival rate. Surgery of the female breast is now performed according to different stages of the carcinoma. A comparative study in non-selected patients of our hospital showed that local relapse of the breast cancer did not depend on surgical technique, if the tumour was removed with a sufficient safety distance and postoperative megavolt radiation was performed.
女性乳腺癌的局部复发率除了5至10年生存率外，还是原发性手术治疗的一个重要参数。在图宾根大学外科诊所，因未提高生存率，已放弃采用Rotter-Halsted技术的根治性乳房切除术以及扩大根治性乳房切除术。目前女性乳腺癌手术是根据癌症的不同阶段进行的。我们医院对非选择性患者进行的一项比较研究表明，如果肿瘤切除时有足够的安全距离并进行术后兆伏放疗，乳腺癌的局部复发并不取决于手术技术。
