Kuzin M I, Shkrob O S, Kulakova A M, Zal'tsman I N, Zolotarevskiĭ V B
Vopr Onkol. 1981;27(5):3-10.
191 patients with nonpalpable breast tumors were admitted to the Clinic of Surgery of the I. M. Sechenov 1st Medical Institute. The tumors were detected during a mass screening survey; none of the patients had any complaints. Examination and palpation failed to detect any pathologic changes in 60.2% of females, while in 39.8%, bilateral mastopathia cystica was found. All patients underwent sectoral resection with interstitial marking of tumor. The marking procedure is described. Morphological examination confirmed X-ray diagnosis in 83% of cases. Most tumors were localized, while incipient invasive features were revealed in 58.3%. Morphologically, such tumors may be considered early cancer. When diagnosis of malignant tumor was confirmed by histological examination, radical mastectomy after the method of Patey was performed (68.9%). The end results of treatment are presented. Early diagnosis and effective therapy of breast cancer are determined by cooperation of X-ray, surgery and pathology department staff.
191例不可触及乳腺肿瘤患者被收入莫斯科第一国立谢马什克医科大学外科诊所。这些肿瘤是在大规模筛查中发现的，所有患者均无任何不适主诉。检查和触诊发现，60.2%的女性未发现任何病理改变，39.8%的女性发现双侧囊性乳腺病。所有患者均接受了肿瘤间质标记的扇形切除术，并对标记过程进行了描述。形态学检查在83%的病例中证实了X线诊断。大多数肿瘤为局限性，58.3%的病例显示早期浸润特征。从形态学上看，这类肿瘤可被视为早期癌症。经组织学检查确诊为恶性肿瘤后，采用佩蒂法进行根治性乳房切除术（68.9%）。给出了治疗的最终结果。乳腺癌的早期诊断和有效治疗取决于放射科、外科和病理科工作人员的合作。
