[Breast preserving surgery]. 1990

K Enomoto
Dept. of Surgery, School of Medicine, Keio University.

Psychological damage caused by radical mastectomy should be taken into consideration from the point of view of quality of life, in addition to sequelae such as disturbance in movement of the shoulder, lymph edema of the arm. Surgery preserving breast is recommended for resolution of the problem. The histopathological study of eighty seven early breast cancer which is defined by 1.0 cm or less in diameter on palpation revealed that sixty seven patients (77 percent) really had a tumor measuring 1.0 cm or less in the surgical specimen and fifty two patients (60 percent) had an invasion into surrounding tissue limited within 2.0 cm from a border of tumor and three patients (3.5 percent) had an invasion to nipple. The data suggested a possibility of surgery preserving breast for patient with early breast cancer satisfied with following condition: tumor is less than 1.0 cm in diameter; it is situated at least 3.0 cm distant from nipple: no involvement palpable in the axilla: no multiple lesion is found on x.p. mammography and ultrasonography: area with minute punctate calcifications is limited in circle measuring 2.0 cm in diameter. Ten patients underwent subcutaneous mastectomy and four patients had quadrantectomy and axillary dissection. A patient had local recurrence, at median follow-up time twenty three months range from three months to 36 months.

UI MeSH Term Description Entries
D008408 Mastectomy Surgical procedure to remove one or both breasts. Mammectomy,Mammectomies,Mastectomies
D011788 Quality of Life A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral, social environment as well as health and disease. HRQOL,Health-Related Quality Of Life,Life Quality,Health Related Quality Of Life
D001943 Breast Neoplasms Tumors or cancer of the human BREAST. Breast Cancer,Breast Tumors,Cancer of Breast,Breast Carcinoma,Cancer of the Breast,Human Mammary Carcinoma,Malignant Neoplasm of Breast,Malignant Tumor of Breast,Mammary Cancer,Mammary Carcinoma, Human,Mammary Neoplasm, Human,Mammary Neoplasms, Human,Neoplasms, Breast,Tumors, Breast,Breast Carcinomas,Breast Malignant Neoplasm,Breast Malignant Neoplasms,Breast Malignant Tumor,Breast Malignant Tumors,Breast Neoplasm,Breast Tumor,Cancer, Breast,Cancer, Mammary,Cancers, Mammary,Carcinoma, Breast,Carcinoma, Human Mammary,Carcinomas, Breast,Carcinomas, Human Mammary,Human Mammary Carcinomas,Human Mammary Neoplasm,Human Mammary Neoplasms,Mammary Cancers,Mammary Carcinomas, Human,Neoplasm, Breast,Neoplasm, Human Mammary,Neoplasms, Human Mammary,Tumor, Breast
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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