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Results of Conservative Operations for Breast Cancer
Robert E. Hermann, MD;
Caldwell B. Esselstyn, Jr, MD;
George Crile, Jr, MD;
Avram M. Cooperman, MD;
Antonio R. Antunez, MD;
Stanley O. Hoerr, MD
Arch Surg. 1985;120(6):746-751.
Abstract
• The results of conservative operations for breast cancer in 1,593 patients treated at the Cleveland Clinic between 1957 through 1975 are reported. During this period, we individualized our treatment of breast cancer depending on tumor size, location in the breast, and clinical stage of the disease. The following three principal operations were performed: modified radical mastectomy in 592 patients (37%), simple (total) mastectomy in 442 patients (28%), and partial (segmental) mastectomy in 291 patients (18%). Survival results at 5,10, and 15 years are reported. Factors important in long-term survival included stage of the disease, number of lymph node metastases, delay in therapy, size of the tumor, histologic type, and estrogen receptor status; type of operation was not a significant factor. In this series, partial (segmental) mastectomy without radiation therapy provided five- to 15-year survival rates equal to modified radical mastectomy and simple (total) mastectomy.
(Arch Surg 1985;120:746-751)
Author Affiliations
From the Departments of General Surgery (Drs Hermann, Esselstyn, Crile, Cooperman, and Hoerr) and Radiation Therapy (Dr Antunez), Cleveland Clinic Foundation.
Footnotes
Accepted for publication June 29, 1984.
Reprint requests to Department of General Surgery, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44106 (Dr Hermann).
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