Sim E, Lim T C, Tan W T, Rauff A
Department of Surgery, National University Hospital, Singapore.
Med J Malaysia. 1993 Jun;48(2):211-6.
Over the past 50 years, a variety of surgical procedures have been advocated for the treatment of operable breast cancer, ranging from local excision to supraradical mastectomy. Today, the surgical treatment of breast cancer remains highly contentious. We review the historical development of breast cancer surgery and analyse the available evidence supporting conservative procedures. We also express our opinions on the treatment of early breast cancer and illustrate the changing patterns of surgery with our experience at National University Hospital.
在过去50年里，人们提倡采用多种外科手术治疗可手术乳腺癌，范围从局部切除到超根治性乳房切除术。如今，乳腺癌的外科治疗仍然极具争议性。我们回顾了乳腺癌手术的历史发展，并分析了支持保守手术的现有证据。我们还就早期乳腺癌的治疗发表了意见，并结合我们在国立大学医院的经验说明了手术方式的变化模式。
