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Analysis of the Prognosis of Minimal and Occult Breast Cancers
Gary W. Unzeitig, MD;
Gloria Frankl, MD;
Mona Ackerman, BSN;
Theodore X. O'Connell, MD
Arch Surg. 1983;118(12):1403-1404.
Abstract
• Of 296 occult breast cancers diagnosed at Kaiser-Permanente Medical Center, Los Angeles, in the last ten years, 80 were classified as minimal and 167 as nonminimal. Minimal cancers were intraductal, lobular in situ, or invasive and 0.5 cm or less in diameter. In the occult-minimal group, no woman had axillary node metastases, and there were no recurrences. In the occult-nonminimal group, 26% of the patients had axillary nodal involvement, with a recurrence rate of 13% and a mortality of 11.6%. Occult breast cancers differed significantly between minimal and nonminimal tumors in both treatment and prognosis. Nonminimal cancers should be treated as any palpable carcinoma. More conservative approaches could be considered for the minimal group, but prospective controlled studies should be done to determine the long-term risks of such treatment.
(Arch Surg 1983;118:1403-1404)
Author Affiliations
From the Departments of Surgery (Drs Unzeitig and O'Connell) and Radiology (Dr Frankl and Ms Ackerman), Kaiser-Permanente Medical Center, Los Angeles.
Footnotes
Accepted for publication July 26, 1983.
Read before the Annual Meeting of the Southern California Chapter of the American College of Surgeons, Rancho Mirage, Calif, Jan 16, 1983.
Reprint requests to Department of Surgery, Kaiser-Permanente Medical Center, 1526 N Edgemont St, Los Angeles, CA 90027 (Dr O'Connell).
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ABSTRACT
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