Konservative Primäroperation des Mammakarzinoms: Subkutane Mastektomie, Lymphadenektomie und Bestrahlung

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Abstract
So-called nipple-preserving operations were performed as primary treatment of mammary carcinoma, predominantly in stage T1, in 135 women. The operation consisted of s.c. mastectomy, axillary lymphadenectomy, nipple biopsy and X-ray therapy. Most patients in whom more than 2 lymph nodes had carcinomatous changes also received chemotherapy. Survival of more than 5 yr was achieved in 48 patients in stage T1. One woman died of carcinoma; in 6 there was further growth with metastases. In no case was there further growth in the nipple region. Although the numbers are small, the results apparently are no worse than after more radical operations.