Notter G, Turesson I
Strahlentherapie. 1983 May;159(5):259-66.
There are different indications for the pre-, per- and postoperative treatment of mammary carcinomas with certain or doubtful operability. Based on clinical examinations, the clinical effect of pre- and postoperative irradiation on the incidence of loco-regional recurrences and distant metastases is explained. The resulting therapy suggestions are discussed. Instead of radical surgery or modified radical surgery in case of subclinical and little carcinomas less than 3 cm, a simple ablation of the tumor with adequate subsequent irradiation is recommended. The therapy results of conservative treatments published hitherto are presented.
对于具有一定可操作性或可操作性存疑的乳腺癌,其术前、术中及术后治疗有不同的适应证。基于临床检查,解释了术前和术后放疗对局部区域复发率和远处转移发生率的临床效果。对由此得出的治疗建议进行了讨论。对于小于3cm的亚临床癌和微小癌,建议采用单纯肿瘤切除并进行充分的后续放疗,而非根治性手术或改良根治性手术。介绍了迄今为止已发表的保守治疗的疗效。