Abstract：
:Breast conserving treatment (BCT) is an alternative to mastectomy, and prospective randomized trials have demonstrated that BCT and radical mastectomy result in similar actuarial survival rates. BCT should fulfil two criteria: (1) it should afford the same local control of disease as radical mastectomy, and (2) it should offer clear cosmetic and psychological advantages. This paper reviews the current status of BCT in the treatment of breast cancer. The choice of a narrow marginal tumor excision with aggressive radiation versus a wide resection with a small dose of radiation is discussed. Although the narrower marginal excisions, such as tumorectomy or lumpectomy provide the best cosmetic results, they may not provide adequate local control even when combined with aggressive irradiation. Wide resections such as quadrantectomy combined with a smaller dose of radiation, results in adequate local control, but less satisfactory cosmetic results. Although body image is better preserved by BCT, a clear enhancement of the psychological well being has yet to be established. Nevertheless, with further improvement in surgical, radiological and chemotherapeutic techniques, BCT likely will be the treatment of choice in more and more patients with operable breast cancer.
journal_name
Int Surgjournal_title
International surgeryauthors
Noguchi M,Miyazaki Isubject
Has Abstractpub_date
1994-04-01 00:00:00pages
142-7issue
2eissn
0020-8868issn
2520-2456journal_volume
79pub_type
杂志文章,评审abstract：:Duodenoscopic sphincterotomy (DS) is a well established treatment for common bile duct (CBD) stones in post-cholecystectomy patients, but not in patients with gallbladder in situ. The main argument against the procedure in the latter set of patients has been that by performing it, one is leaving behind the diseased ga...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1991-07-01 00:00:00
abstract：:For a variety of reasons, mainly anatomical, the skin and soft tissue defects in the lower leg and foot remain a challenging problem for reconstructive surgeons. Simple skin grafts, local random flaps, cross leg flaps, microvascular flaps, etc., have been used to tackle this difficult problem. Although to date, probab...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2001-07-01 00:00:00
abstract：:Thirty four patients with funnel chest were operated on using the Zimmer plate and/or U shaped rod. There were no recurrences of the chest deformity and 78.6% were satisfied with the result. The low % VC significantly improved after the operation. Five cases had one of the following complications, massive bleeding fro...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1995-07-01 00:00:00
abstract：:Malignant fibrous histiocytoma (MFH) is the most common soft tissue sarcoma in late adult life. It occurs most frequently in the extremities (70%), followed by the retroperitoneum (16%). The occurrence of MFH in the spermatic cord is extremely rare (approximately 50 cases in the literature). We are reporting one case ...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：
更新日期：2009-07-01 00:00:00
abstract：:Gastroduodenal anastomosis is not routine during reoperation for stomal ulcers after primary Billroth II gastrectomy. It nevertheless is a sure way to prevent an increased peptic potential which is brought about by a duodenal bypass. We have reviewed the published cases and added three more, bringing the total to 47. ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1975-10-01 00:00:00
abstract：:Ocular chemical burns are frustrating disorders. The conjunctival surface provides a defense mechanism protecting against infection, desiccation, and injury, being centered in the epithelial lining of the ocular surface. A monocular case of severe acid chemical burn is presented. Postinjury-stratified epithelium in th...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2005-01-01 00:00:00
abstract：:Cervical cancer is the most prevalent cancer of women in Ethiopia and sexually transmitted diseases are highly prevalent in the country. In order to establish a possible cause and effect relationship between sexually transmitted diseases and cervical cancer, likely etiological socio-economic factors for these two cond...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1993-04-01 00:00:00
abstract：:This retrospective study investigated the clinicopathologic characteristics and clinical outcomes of esophageal basaloid squamous carcinoma (BSC). Among 190 patients with esophageal carcinoma treated surgically between 1998 and 2011, we identified 9 (4.7%) with BSC. All of the patients were male, with a median age of ...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/CC195
更新日期：2013-10-01 00:00:00
abstract：:The results of a prospective study of infection control carried out in the Division of Abdominal Surgery of the Federal University of Pernambuco over a two year period are presented. A total of 760 patients operated on by the various teams of the Division were studied and rates of wound, respiratory and urinary infect...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1984-01-01 00:00:00
abstract：:Three-hundred and forty-five cases of perforated duodenal ulcer were managed by suture plication alone. Perforated acute ulcers have a better ultimate outlook in terms of mortality and morbidity as compared with perforated chronic ulcers, which have a higher incidence of reperforation and reoperation. It is suggested ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1982-10-01 00:00:00
abstract：:In order to evaluate the incidence, the diagnostic modalities and significance of blisters of the abdominal aortic aneurysm wall, in a retrospective review, 14 patients (2.6%) having these lesions were identified between 1983 and 1995. At preoperative examination, aortography had less accuracy (1 case = 20%) than CT s...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1997-04-01 00:00:00
abstract：:Due to the rarity and large diversity of the primary retrorectal tumors (RTs), the diagnoses are often difficult and they can be misdiagnosed. We present our experience in light of scarce information available on the clinical manifestations of RTs. The retrospective study included 17 patients diagnosed as RTs between ...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-15-00068.1
更新日期：2015-07-01 00:00:00
abstract：:Crohn disease is a chronic, transmural, inflammatory disease of the gastrointestinal tract with unknown etiology. It can affect any part of the gastrointestinal tract and may cause fistula, stricture, or abscess formation with disease progression. The preoperative diagnosis and definite management of this rare complic...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-13-00038.1
更新日期：2014-03-01 00:00:00
abstract：:Results of immediate reconstruction of the defects resulting from excision of cancer of the cheek, lower jaw, upper jaw and lip in 13 patients using temporal island, deltopectoral and cervicoacromial flaps have been described. The surgical techniques have been outlined. Previous radiotherapy is not a contraindication ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1977-11-01 00:00:00
abstract：:Mouse unilateral ureteral occlusion (UUO) is widely used as a model of renal experimental obstructive nephropathy with interstitial fibrosis. Microcomputed tomography (micro-CT) imaging has the potential to produce quantitative images. The aim of this study was to establish standard images of micro-CT for renal anatom...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00273.1
更新日期：2015-07-01 00:00:00
abstract：:Limy bile syndrome is a rare condition in which the gallbladder is filled with a paste-like radiopaque material. The presence of limy bile in the common bile duct is rare. A 72-year-old woman was admitted to our hospital with epigastric pain and jaundice. Plain abdominal radiography on admission showed a radiopaque ma...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
abstract：:Endoscopic retrograde pancreatogram (ERP) has been recommended in patients with suspected pancreatic fistula to visualize the fistula tract and the ductal anatomy. Recently we have treated five men with chronic alcoholic pancreatitis complicated by pancreaticopleural or pancreaticoperitoneal fistula. The limited value...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1996-04-01 00:00:00
abstract：:A 53-year-old man with multiple liver metastasis of esophageal cancer underwent four courses of chemotherapy. After four courses of chemotherapy, positron emission tomography showed progressive disease. Because it was difficult to control the cancer only by chemotherapy, we performed proton beam therapy (PBT) combined...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-13-00188.1
更新日期：2015-01-01 00:00:00
abstract：:Proximal gastrectomy (PG) has been introduced for patients who are preoperatively diagnosed with early gastric cancer located in the upper third of the stomach. In the present study, we compared the prognosis of patients who underwent PG with that of patients who underwent total gastrectomy (TG). Between 1997 and 2006...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/CC150.1
更新日期：2012-07-01 00:00:00
abstract：:An 89-year-old woman presented with a chief complaint of induration in the left breast persisting for 1 month. Core needle biopsy of the lesion showed invasive breast cancer. Therefore, we diagnosed the lesion as left breast cancer and performed a modified mastectomy. On the immunohistochemical study, the tumor was po...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
abstract：:A retrospective review was performed of 98 patients admitted to a Level I Trauma Center between July 1989 and December 1990 with a diagnosis of blunt chest trauma. Of these patients, 49% suffered either immediate or delayed complications. Immediate complications included hemothorax or pleural effusion in 21.4%, pneumo...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：:The present study was to evaluate the accuracy of bedside index for severity in acute pancreatitis (BISAP) in predicting the severity and prognoses of acute pancreatitis (AP) in Chinese patients. Clinical data for 497 patients with AP were analyzed retrospectively to compare BISAP with acute physiology and chronic hea...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/0020-8868-98.1.6
更新日期：2013-01-01 00:00:00
abstract：:At present, physicians and surgeons treating thyroid disorders can rely on highly accurate and precise investigations, modern equipment, and state of the art operating theater to achieve optimum results; however, this was not the case at the beginning of the treatment of thyroid diseases centuries ago. We present a sh...
journal_title：International surgery
pub_type： 历史文章,杂志文章
doi：10.9738/CC185.1
更新日期：2013-01-01 00:00:00
abstract：:Obstructive jaundice in patients with chronic pancreatitis still constitutes a surgical problem deserving the attention of many specialized centers throughout the world. Out of a series of 149 patients operated upon for chronic pancreatitis, 45 (30.2%) with common duct stricture secondary to pancreatic disease have be...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1984-04-01 00:00:00
abstract：:A gallstone ileus is an unusual form of bowel obstruction. Colonic gallstone ileus is rare, difficult to diagnose, and still has a high mortality rate. We present a case of biliary ileus caused by an impacted gallstone, causing necrosis and perforation of the rectosigmoid junction. A Hartmann's procedure was performed...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2009-01-01 00:00:00
abstract：:Extensive studies have been carried out to understand the vascular anatomy of fasciocutaneous flaps both in human cadavers and in experimental models. Seldom has angiographic study been undertaken in clinical cases. Before peroperative clinical angiography, microangiographic study was performed on rabbits to understan...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2006-11-01 00:00:00
abstract：:A randomized prospective study of 202 patients undergoing peripheral vascular surgery, with the use of autotransfusion, is presented. Hematologic and hemostatic studies were performed on 50 samples of reclaimed and bank blood. The study showed a lower hemoglobin content in autotransfused blood. At the same time it sho...
journal_title：International surgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1983-01-01 00:00:00
abstract：:En bloc resection of the esophagus was attempted by right thoracotomy, laparotomy, and left cervicotomy in 82 patients suffering from an esophageal cancer. Tumors were classified by the depth of wall penetration and node involvement: 21 tumors penetrated at the most into but not through the muscle (W1), and 61 invaded...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1991-10-01 00:00:00
abstract：:The records of patients treated for vulvar carcinoma at the University of Milan from January 1967 through December 1991 have been studied retrospectively, making an analysis of the results of surgical staging in terms of prognosis, morbidity and long-term survival. All cases have been reevaluated and restaged accordin...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1996-01-01 00:00:00
abstract：:The incidence of gastroesophageal junction adenocarcinoma is increasing. About 30% of the tumors cannot be completely resected, and 40% of the patients relapse after complete resection. There is much controversy over the role of neoadjuvant therapy, the approach route, lymphadenectomy, and the extent of esophageal res...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2006-05-01 00:00:00
