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Limited surgical excision as the basis of a comprehensive therapy for cancer of the breast.
Authors:O Cope  C A Wang  A Chu  C C Wang  M Schulz  B Castleman  J Long  W D Sohier
Institution:Boston, Massachusetts USA
Abstract:A comprehensive program of therapy has evolved with collaborating roles for surgery, pathology, radiotherapy, and chemotherapy. Our experience includes 131 patients with breast cancer treated at the Massachusetts General Hospital since 1956 by limited excision of the cancer. The tumors of 10 patients were noninvasive or sluggishly so; the patients received no further therapy. Because of the invasive character of their tumor, 121 patients received heavy postoperative irradiation. In 12 of these 121, the irradiation has been followed by immediate and prolonged chemotherapy. It is too soon to judge the effect of the chemotherapy, but survival rates of those treated by limited excision and primary irradiation compare favorably with those of patients treated by radical mastectomy.
Keywords:Reprint requests should be addressed to Oliver Cope  MD  Massachusetts General Hospital  Boston  Massachusetts 02114  
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