Mendes da Costa P, Mattheiem W, Andry G
Acta Chir Belg. 1977 Jul-Aug;76(4):423-9.
The authors report the results of a homogeneous series of 319 modified radical mastectomies where both pectoralis muscles are respected, in the treatment of breast cancer. Operative mortality is nill and morbidity is low. Persistant lymphedema of the arm is not marked. The frequency of axillary nodes is 64%. Local recurrences occur in 12% of cases. Total 5 year survival was 50.1%. It was 89% for stage I, 57.3% for stage II and 43.7% for stage 222. It was 61.5% if there were no involved nodes, 63.9% when 1 to 3 nodes were involved and 32% when 4 or more nodes were involved. The authors recommend this type of operation of tumors of state II and III as the 5 year survival is identical to that of other techniques, as morbidity and mortality are low and distant sequellae are unimportant.
作者报告了319例改良根治性乳房切除术的结果，这些手术均保留了两块胸肌，用于治疗乳腺癌。手术死亡率为零，发病率较低。手臂持续性淋巴水肿并不明显。腋窝淋巴结出现频率为64%。局部复发发生在12%的病例中。5年总生存率为50.1%。I期为89%，II期为57.3%，III期为43.7%。如果没有淋巴结受累，生存率为61.5%；1至3个淋巴结受累时为63.9%；4个或更多淋巴结受累时为32%。作者推荐将这种手术用于II期和III期肿瘤，因为其5年生存率与其他技术相同，发病率和死亡率较低，且远期后遗症并不严重。
