A controlled trial of extended radical mastectomy.

Abstract:

:One hundred twenty-three women younger than 70 years of age and at clinical Stages I or II were enrolled in a randomized clinical trial of radical versus extended radical mastectomy. The 5-year survival rates in the radical and extended radical groups were 75 +/- 6.7% and 80 +/- 6.7%, respectively. (Cox P value for comparison of survival curves = 0.32.) Of the total series, 112 were treated by the same surgeon and confirmed pathologically as having invasive mammary carcinoma. In this more homogeneous subgroup, the 5-year survival rates for the radical and extended radical groups were 71 +/- 7.6% and 85 +/- 6.2%, respectively (P = 0.09). For patients from this subgroup with central or medial tumors, the 5-year survival rates were 66 +/- 10% and 88 +/- 8.2%, respectively (P = 0.06). For patients with lateral tumors, the 5-year survival rates were nearly equal: 79 +/- 11% and 81 +/- 9.7%, respectively. The findings in a nonrandomized series of similar patients were comparable. The results are not definitive, but suggest an advantage of extended radical mastectomy over radical mastectomy for patients with central or medial tumors. Continued follow-up of the randomized series may lead to more conclusive results.

journal_name

Cancer

journal_title

Cancer

authors

Meier P,Ferguson DJ,Karrison T

doi

10.1002/1097-0142(19850215)55:4<880::aid-cncr28205

subject

Has Abstract

pub_date

1985-02-15 00:00:00

pages

880-91

issue

4

eissn

0008-543X

issn

1097-0142

journal_volume

55

pub_type

临床试验,杂志文章,随机对照试验

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