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Histologically the early histological findings of the carcinoma of the breast enclose lobular and intraductal carcinoma in situ, and atypical epithelial proliferation. Without mastectomy a considerable percentage of these cases will develop invasive carcinoma. In order to detect these early forms of carcinoma mammography should be carried out. Following this procedure a more precisely located histological examination can be performed. The treatment consists of simple mastectomy.  相似文献   

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Small breast cancer is not a clear entity and is often very difficult to classify (e.g. TNM). The role of radiotherapy is far from being generally accepted; it is now clear that the smaller the tumor is, the better are its chances to be cured by X-rays. The first step after diagnosis is the search for distant metastases. That postoperative radiotherapy increases the risk of distant metastases remains to be proved and clinical trials are under way. At the present time, the treatment of breast cancer requires a multidisciplinary approach.  相似文献   

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A retrospective 2-years' study conducted in 3,563 patients showed that triple diagnostics involving clinic, mammography and puncture cytology occupies a central position in the diagnostics of the female breast, whereas plate thermography represents an additional method to clarify unclear clinical or mammographic findings. 88.9% of tumours were detected by means of a careful clinical examination. Over and above this, mammography enables identification of the occult carcinoma, which is extirpated in a controlled manner by means of preparation radiography. Puncture and cytology enable a nonsurgical clarification and treatment of cysts and are, therefore, an important control indicator of mastopathically changed mammae.  相似文献   

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R Dietz  W Fess  H J Tkocz 《Strahlentherapie》1979,155(3):162-164
Six patients with carcinomas of the breast are reported. Bienergetic pendulum irradiation with electrons is applied following surgical treatment in the same manner as with female patients. The possibilities of metastasition treatment are discussed.  相似文献   

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The management of early cancer of the female breast still remains an unsolved problem. Current information on the spread of the disease indicates that metastases are present in one quarter of the patients even if thorough clinical investigation reveals local tumor invasion only. There is no substantial evidence that unproved surgical or radiotherapeutical procedures in the future might improve cure rates. Cytostatic chemotherapy given early in the course of the disease, i.e. following surgery of a primary breast cancer, therefore, has been advocated. Arguments pro and con postoperative chemotherapy are discussed.  相似文献   

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K Hohl 《Radiologia clinica》1975,44(4):309-318
The specific treatment of primary breast carcinoma in the future may depend on viral genes in the development of antiviral substances, or a specific chemotherapeutic method. In this manner the turnover rate of the RNS virus is successfully inhibited (as the preceding communicated observations about the probably produced inhibition effect of rifampicin derivates of streptovarizin complexes). Prophylactically, by familiar breast cancer, breast feeding must be prohibited so that a supposed virus factor would not transfer with the milk. So far we hope that a supposed virus diagnosis of the primary tumor leads to decreased surgical interventions (tumorectomy, radical mastectomy), and technical as well as high energy postradiotherapy. This would not only give a smaller psychologic shock to the patient (small operation trauma) but would also decrease the complications (arm edema, movement restriction). This opinion now appears to effect international thinking after radical and subradical surgery have not given better results. For the late stage there is modern chemotherapy, combined with proper radiotherapy treatment of painful skeletal metastases, eventually also brain metastases which can now be successfully irradiated. Whether better late results are obtained by the early chemotherapy as well as the improvement of the immunity reaction quickly after sugical intervention (modified radical mastectomy) will be seen in the near future.  相似文献   

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A simple and precise technique for pelvimetry, delivering only a low dose of irradiation, is described. It includes the usual lateral view, but for the AP uses that of Fernstro?m. The technique and results are described.  相似文献   

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A Hackl 《Strahlentherapie》1979,155(10):683-689
After 22 years of sole orthovoltage therapy the results and experiences arrived at in the course of treatment are subjected to a final review. The results are compared to those of other authors, obtained with megavoltage therapy, and a critical analysis of the problems existing in the radiation therapy of cancer of the breast is presented.  相似文献   

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We report here two new cases of ureteral diverticulosis. This condition is found usually in the man of the fifties who has most frequently an urinary tract infection or a prostatic adenoma. The roentgen findings are multiple out-poutchings of the lumbar ureter. Several factors are combined (constitutionnal, urinary tract infection, disordered ureteral-motility) to explain the creation of diverticules in the areas of weakness of ureteral wall, where penetrate the vessels.  相似文献   

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