A comparison of modified radical mastectomy to radical mastectomy in the treatment of operable breast cancer

R. Robinson Baker, A. C W Montague, J. N. Childs

Research output: Contribution to journalArticle

Abstract

This study compares the results of modified radical mastectomy (144 cases) to radical mastectomy (188 cases) in the treatment of operable breast cancer. 205 patients had Stage I breast cancer, 60 had Stage II disease and 67 had Stage III disease (TNM System). There was no statistically significant difference in 5 yr survival when the results of a radical mastectomy were compared to a modified radical mastectomy at any stage of disease. There was no statistically significant difference in the incidence of local recurrence in patients with Stage I and Stage II disease when the results of a radical mastectomy were compared to modified radical mastectomy. Those patients with Stage III disease who were treated by a modified radical mastectomy had a statistically significant higher incidence of local recurrence (chest wall and axilla) in comparison to patients treated by radical mastectomy. We have concluded that a modified radical mastectomy is the treatment of choice in patients with Stage I and Stage II diseases. In patients with Stage III disease a radical mastectomy provides a better chance of local control of the disease but offers no increased chance of survival.

Original languageEnglish (US)
Pages (from-to)553-559
Number of pages7
JournalAnnals of Surgery
Volume189
Issue number5
StatePublished - 1979

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Radical Mastectomy
Modified Radical Mastectomy
Breast Neoplasms
Therapeutics
Recurrence
Axilla
Survival
Incidence
Thoracic Wall

ASJC Scopus subject areas

  • Surgery

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A comparison of modified radical mastectomy to radical mastectomy in the treatment of operable breast cancer. / Baker, R. Robinson; Montague, A. C W; Childs, J. N.

In: Annals of Surgery, Vol. 189, No. 5, 1979, p. 553-559.

Research output: Contribution to journalArticle

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