Kaufmann H
Fortschr Med. 1976 May 6;94(13):756-60.
In the treatment of breast cancer a radiation therapy is indicated under the following conditions: 1. Postoperative irradiation only of the regional lymph-nodes also in stage I (T1, N0). 2. Postoperative irradiation of the regional lymph-nodes and the thorax wall in cases with great primary tumours (T2), in cases with involved axillary lymph-nodes and, of course, in all cases with "grave signs". 3. Preoperative irradiation only in those cases when it seems possible that an inoperable tumour would become operable. 4. As the sole local treatment only in cases with very large inoperable tumours or in special cases (e.g. very high risc or refusal of the operation). 5. As local treatment of a local recidive or of isolated metastases. 6. As supporting local therapy (e.g. threatening fracturation of our fracturated bone metastases; brain metastases) in cases of generalized metastatic disease treated by hormonal or cytostatic therapy.
在乳腺癌治疗中，在以下情况下需进行放射治疗：1. 仅对I期（T1，N0）患者的区域淋巴结进行术后照射。2. 对于原发性肿瘤较大（T2）、腋窝淋巴结受累的患者，以及所有有“严重体征”的患者，术后对区域淋巴结和胸壁进行照射。3. 仅在不可切除的肿瘤有可能变为可切除的情况下进行术前照射。4. 仅作为局部治疗用于肿瘤非常大且不可切除的病例或特殊情况（如风险非常高或拒绝手术）。5. 作为局部复发或孤立转移灶的局部治疗。6. 在接受激素或细胞抑制疗法治疗的广泛转移性疾病病例中，作为支持性局部治疗（如即将发生骨折或已发生骨折的骨转移；脑转移）。
