Skip to main content
The Western Journal of Medicine logoLink to The Western Journal of Medicine
. 1983 May;138(5):676–680.

Irradiation as an Alternative to Mastectomy for Early Breast Cancer—An Important Consideration Because of Changes in Laws

Alvaro Martinez, Daniel Clarke
PMCID: PMC1010786  PMID: 6880183

Abstract

Between May 1973 and December 1980 there were 76 patients (78 breasts) with clinical stage I or II breast carcinoma treated by biopsy and definitive radiotherapy at Stanford University Medical Center. Local-regional control has been achieved thus far in 76 of 78 cases (97 percent) with a median follow-up time of 26 months. Transient lymphedema of the breast, arm edema and breast fibrosis were the most commonly noted complications. The cosmetic result was analyzed and scored as excellent in 78 percent, satisfactory in 18 percent and unsatisfactory in 4 percent. The three unsatisfactory results occurred in patients in whom severe fibrosis developed as a result of suboptimal radiation techniques. Interdisciplinary cooperation among surgical, medical and radiation oncologists is important. The 97 percent local-regional control and the 96 percent excellent-to-satisfactory results support the use of primary radiotherapy in early stage breast carcinoma.

Full text

PDF
676

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alpert S., Ghossein N. A., Stacey P., Migliorelli F. A., Efron G., Krishnaswamy V. Primary management of operable breast cancer by minimal surgery and radiotherapy. Cancer. 1978 Oct;42(4):2054–2058. doi: 10.1002/1097-0142(197810)42:4<2054::aid-cncr2820420456>3.0.co;2-7. [DOI] [PubMed] [Google Scholar]
  2. Brown G. S., Kramer S., Brady L., Tobin D. A. Primary irradiation of stage I and stage II adenocarcinoma of the breast. Int J Radiat Oncol Biol Phys. 1977 Nov-Dec;2(11-12):1145–1148. doi: 10.1016/0360-3016(77)90122-5. [DOI] [PubMed] [Google Scholar]
  3. Calle R., Pilleron J. P., Schlienger P., Vilcoq J. R. Conservative management of operable breast cancer: ten years experience at the Foundation Curie. Cancer. 1978 Oct;42(4):2045–2053. doi: 10.1002/1097-0142(197810)42:4<2045::aid-cncr2820420455>3.0.co;2-8. [DOI] [PubMed] [Google Scholar]
  4. Chu A. M., Cope O., Russo R., Wang C. C., Schultz M. D., Wang C. A., Rodkey G. Treatment of early stage breast cancer by limited surgery and radical irradiation. Int J Radiat Oncol Biol Phys. 1980 Jan;6(1):25–30. doi: 10.1016/0360-3016(80)90198-4. [DOI] [PubMed] [Google Scholar]
  5. Clarke D., Martinez A., Cox R. S., Goffinet D. R. Breast edema following staging axillary node dissection in patients with breast carcinoma treated by radical radiotherapy. Cancer. 1982 Jun 1;49(11):2295–2299. doi: 10.1002/1097-0142(19820601)49:11<2295::aid-cncr2820491116>3.0.co;2-g. [DOI] [PubMed] [Google Scholar]
  6. Harris J. R., Levene M. B., Svensson G., Hellman S. Analysis of cosmetic results following primary radiation therapy for stages I and II carcinoma of the breast. Int J Radiat Oncol Biol Phys. 1979 Feb;5(2):257–261. doi: 10.1016/0360-3016(79)90729-6. [DOI] [PubMed] [Google Scholar]
  7. Hellman S., Harris J. R., Levene M. B. Radiation therapy of early carcinoma of the breast without mastectomy. Cancer. 1980 Aug 15;46(4 Suppl):988–994. doi: 10.1002/1097-0142(19800815)46:4+<988::aid-cncr2820461323>3.0.co;2-o. [DOI] [PubMed] [Google Scholar]
  8. Martinez A., Goffinet D. Irradiation with external beam and interstitial radioactive implant as primary treatment for early carcinoma of the breast. Surg Gynecol Obstet. 1981 Mar;152(3):285–290. [PubMed] [Google Scholar]
  9. Montague E. D., Gutierrez A. E., Barker J. L., Tapley N. D., Fletcher G. H. Conservation surgery and irradiation for the treatment of favorable breast cancer. Cancer. 1979 Mar;43(3):1058–1061. doi: 10.1002/1097-0142(197903)43:3<1058::aid-cncr2820430341>3.0.co;2-1. [DOI] [PubMed] [Google Scholar]
  10. Nobler M. P., Venet L. Twelve years' experience with irradiation as the primary treatment for breast cancer. Int J Radiat Oncol Biol Phys. 1981 Jan;7(1):33–42. doi: 10.1016/0360-3016(81)90057-2. [DOI] [PubMed] [Google Scholar]
  11. Peters M. V. Wedge resection with or without radiation in early breast cancer. Int J Radiat Oncol Biol Phys. 1977 Nov-Dec;2(11-12):1151–1156. doi: 10.1016/0360-3016(77)90124-9. [DOI] [PubMed] [Google Scholar]
  12. Pierquin B., Owen R., Maylin C., Otmezguine Y., Raynal M., Mueller W., Hannoun S. Radical radiation therapy of breast cancer. Int J Radiat Oncol Biol Phys. 1980 Jan;6(1):17–24. doi: 10.1016/0360-3016(80)90197-2. [DOI] [PubMed] [Google Scholar]
  13. Prosnitz L. R., Goldenberg I. S., Packard R. A., Levene M. B., Harris J., Hellman S., Wallner P. E., Brady L. W., Mansfield C. M., Kramer S. Radiation therapy as initial treatment for early stage cancer of the breast without mastectomy. Cancer. 1977 Feb;39(2 Suppl):917–923. doi: 10.1002/1097-0142(197702)39:2+<917::aid-cncr2820390730>3.0.co;2-2. [DOI] [PubMed] [Google Scholar]
  14. Schottenfeld D., Nash A. G., Robbins G. F., Beattie E. J., Jr Ten-year results of the treatment of primary operable breast carcinoma: A summary of 304 patients evaluated by the TNM system. Cancer. 1976 Aug;38(2):1001–1007. doi: 10.1002/1097-0142(197608)38:2<1001::aid-cncr2820380252>3.0.co;2-5. [DOI] [PubMed] [Google Scholar]
  15. Spitalier J., Brandone H., Ayme Y., Amalric R., Santamaria F., Seigle J. Cesiumtherapy of breast cancer. A five-year report on 400 consecutive patients. Int J Radiat Oncol Biol Phys. 1977 Mar-Apr;2(3-4):231–235. doi: 10.1016/0360-3016(77)90078-5. [DOI] [PubMed] [Google Scholar]
  16. Svensson G. K., Bjärngard B. E., Larsen R. D., Levene M. B. A modified three-field technique for breast treatment. Int J Radiat Oncol Biol Phys. 1980 Jun;6(6):689–694. doi: 10.1016/0360-3016(80)90224-2. [DOI] [PubMed] [Google Scholar]
  17. Syed A. M., Puthawala A., Fleming P., Neblett D., Gowdy R. A., Sheikh K. M., George F. W., 3rd, Eads D., McNamara C. Combination of external and interstitial irradiation in the primary management of breast carcinoma. Cancer. 1980 Sep 15;46(6):1360–1365. doi: 10.1002/1097-0142(19800915)46:6<1360::aid-cncr2820460612>3.0.co;2-k. [DOI] [PubMed] [Google Scholar]
  18. Veronesi U., Saccozzi R., Del Vecchio M., Banfi A., Clemente C., De Lena M., Gallus G., Greco M., Luini A., Marubini E. Comparing radical mastectomy with quadrantectomy, axillary dissection, and radiotherapy in patients with small cancers of the breast. N Engl J Med. 1981 Jul 2;305(1):6–11. doi: 10.1056/NEJM198107023050102. [DOI] [PubMed] [Google Scholar]

Articles from Western Journal of Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES