Osteen R T, Cady B, Chmiel J S, Clive R E, Doggett R L, Friedman M A, Hussey D H, Kraybill W G, Urist M M, Winchester D P
Commission on Cancer, American College of Surgeons, Chicago.
J Am Coll Surg. 1994 Mar;178(3):213-9.
A nationwide survey of patterns of care for carcinoma of the breast was conducted by the Commission on Cancer of the American College of Surgeons. Information regarding patient history, diagnostic tests, treatment, survival and disease status was obtained for 17,295 patients treated during 1983 and 24,356 patients treated during 1990. The results indicate that patients diagnosed in recent years (1990) are being treated at an earlier stage of the disease compared with the 1983 survey and the findings of earlier years, probably because of the use of mammography. Surgical treatment for conservation of the breast is being used more frequently, but modified radical mastectomy remains the most commonly used surgical treatment.
美国外科医师学会癌症委员会开展了一项关于乳腺癌治疗模式的全国性调查。收集了1983年接受治疗的17295名患者以及1990年接受治疗的24356名患者的病史、诊断测试、治疗、生存情况和疾病状态等信息。结果表明,与1983年的调查及早年的研究结果相比,近年来(1990年)确诊的患者疾病处于更早阶段,这可能是由于乳房X线摄影术的应用。保乳手术的使用更为频繁,但改良根治性乳房切除术仍是最常用的手术治疗方式。