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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1978 Nov;60(6):479–482.

The role of local treatment for primary carcinoma of the breast.

M Baum
PMCID: PMC2492174  PMID: 718077

Abstract

The rationale of the conventional treatment of carcinoma of the breast by radical mastectomy is examined and is shown, in the light of modern concepts of the biology of the disease, to be faulty. It is proposed that the primary management of breast cancer should have three aims--preoperative diagnosis so that mastectomy may be avoided in patients with overtly disseminated disease, adequate local control of the disease with the maintenance of good life quality, and staging by minimal examination of the axillary contents or pectoral node biopsy as a guide to such adjuvant systemic therapy as may prove necessary.

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Selected References

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

  1. Baum M., Edwards M. H., Magarey C. J. Organization of clinical trial on national scale: management of early cancer of the breast. Br Med J. 1972 Nov 25;4(5838):476–478. doi: 10.1136/bmj.4.5838.476. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Baum M., Edwards M. H. Management of early carcinoma of the breast. Lancet. 1972 Jul 8;2(7767):85–85. doi: 10.1016/s0140-6736(72)91565-6. [DOI] [PubMed] [Google Scholar]
  3. Brinkley D., Haybrittle J. L. The curability of breast cancer. Lancet. 1975 Jul 19;2(7925):95–97. doi: 10.1016/s0140-6736(75)90003-3. [DOI] [PubMed] [Google Scholar]
  4. Burn J. I. Obstructive lymphopathy. Ann R Coll Surg Engl. 1968 Feb;42(2):93–113. [PMC free article] [PubMed] [Google Scholar]
  5. DEVITT J. E. THE SIGNIFICANCE OF REGIONAL LUMPH NODE METASTASES IN BREAST CARCINOMA. Can Med Assoc J. 1965 Aug 14;93:289–293. [PMC free article] [PubMed] [Google Scholar]
  6. Fisher B., Slack N. H., Cavanaugh P. J., Gardner B., Ravdin R. G. Postoperative radiotherapy in the treatment of breast cancer: results of the NSABP clinical trial. Ann Surg. 1970 Oct;172(4):711–732. doi: 10.1097/00000658-197010000-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Forrest A. P. Breast cancer: the way ahead. Clin Oncol. 1976 Dec;2(4):313–316. [PubMed] [Google Scholar]
  8. Forrest A. P., Roberts M. M., Cant E., Shivas A. Simple mastectomy and pectoral node biopsy. Br J Surg. 1976 Aug;63(8):569–575. doi: 10.1002/bjs.1800630802. [DOI] [PubMed] [Google Scholar]
  9. LEWISON E. F. The surgical treatment of breast cancer: an historical and collective review. Surgery. 1953 Nov;34(5):904–953. [PubMed] [Google Scholar]
  10. Lewis D., Rienhoff W. F. Results of Operations at the Johns Hopkins Hospital for Cancer of the Breast: Performed at the Johns Hopkins Hospital from 1889 to 1931. Ann Surg. 1932 Mar;95(3):336–400. doi: 10.1097/00000658-193203000-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Roberts J. G., Preece P. E., Bolton P. M., Baum M., Hughes L. E. The 'tru-cut' biopsy in breast cancer. Clin Oncol. 1975 Dec;1(4):297–303. [PubMed] [Google Scholar]
  12. Webb A. J. The diagnostic cytology of breast carcinoma. Br J Surg. 1970 Apr;57(4):259–264. doi: 10.1002/bjs.1800570405. [DOI] [PubMed] [Google Scholar]

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