Surgical treatment of breast câncer: 27-years experience of Erasto Gaertner Hospital
Keywords:
Surgery, Breast, TreatmentAbstract
The last century was a period of extraordinary evo/ution in understanding breast câncer
biological behavior and treatment. Randomized tria/s have clearly demonstrated that conservative
surgicalprocedures are equally effective as those procedures deve/oped one century ago, as
radical mastectomy. This trial was set up in order to demonstrate the evo/ution ofthe breast
câncer surgi cai treatment at Erasto Gaertner Hospital. Correia ting the surgical procedure and
the period when it was done with the lesion TNMstaging, andalso reporting the local recurrences
data, it was possible to demonstrate three distinct decades concerning the radicality in surgical
treatment of breast câncer at Erasto Gaertner Hospital.
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References
1.ABNER A, GELMAN R, CONNOLLY et al
The relationship between microscopic
margins of resection and the risk of local recurrence in patients with breast
câncer treated with breast-conserving
surgery and radiation therapy. Câncer
1994; 74: 1746-51.
2.ANSCHER MS, JONES P, PROSNITZ LR et
al. Local failure and margin status in
early-stage breast carcinoma treated
with conservation surgery and radiation
therapy. Ann Surg 1993; 218: 22-8.
3.ARRIAGADA R, LÊ MG, ROCHARD F et al.
Conservative treatment versus mastectomy in early breast câncer:
patterns of failure with 15 years of
follow-up data. Institut Gustave-Roussy
breast câncer Group. J Clin Oncol 1996;
14: 1558.
4.BLICHERT-TOFT M, ROSE C, ANDERSEN
JA et al Danish randomized trial
comparing breast conservation
therapy with mastectomy: six years of
life-table analysis. Danish Breast Câncer
Cooperative Group. J Natl Câncer Inst Monogr 1992; 11: 19.
5.CALLE R, VILOQ JR, ZAFRANI B et a! Local control and survival of breast câncer
treated by limited surgery followed by
irradiation. Int J Radiat Oncol Biol Phys
1986; 12: 873-8.
6.FISHER B, BAUER M, MARGOLESE R et
a/. Five-year results of a randomized
clinicai trial comparing total mastectomy
and lumpectomy with or without
irradiation in the treatment of breast
câncer. N Engl J Med 1985; 312: 665-73.
7.FISHER B, FISHER ER. Barrier function of
lymph nodes to tumor cells and
erytrocytes. Câncer 1967; 20: 1913.
8.FISHER B, FISHER ER. Transmigration of
lymph nodes by tumor cells. Science
1966; 152: 1397-8.
9.FISHER B, REDMOND C, FISHER ER et a!
Ten-year results of a randomized clinicai
trial comparing total mastectomy and
lumpectomy with or without irradiation
in the treatment of breast câncer. N Engl
J Med 1985; 312: 674-81.
10.FISHER B, REDMOND C, POISSON R
et al. Eight-year results of arandomized clinicai trial comparing
total mastectomy and lumpectomy
with or without irradiation in the
treatment of breast câncer. N Engl J Med 1989; 320: 822-8.
11.FOWBLE BL, SOLIN LJ, SCHULTZ DJ, GOODMAN RL. Ten-year results of
conservative surgery and irradiation for
stage I and II breast câncer. Int J Radiat Oncol Biol Phys 1991; 21: 269-77.
12.HALSTED WS. The results of radical
operations for the cure of carcinoma of
the breast. Ann Surg 1907; 56: 1-19.
13.HELLMAN S. The natural history of small
breast cancers: The David A. Karnovsky
Memorial Lecture. J Clin Oncol 1994; 12:
2229-34.
14.JACOBSON JA, DANFORTH DN, COWAN
KH et aí Ten-year results of a comparison
of conservation with mastectomy in the
treatment of stage I and II breast câncer. N Engl J Med 1995; 332: 907.
15.LEWIS D, RIENHOFF WF. A study of
results of operations for cure of câncer
of the breast: John Hopkins Hospital
1889-1931. Ann Surg 1932; 95: 336-
400.
16.LICHTERAS, LIPPMAN ME, DANFORTH DN
et a/. Mastectomy versus breastconserving therapy in the treatment of
stage I and II carcinoma of the breast: a
randomized trial at the National Câncer
Institute. J Clin Oncol 1992; 10: 976-83.
17.VAN DONGEN JA, FENTIMEN IS.
Randomized clinicai trials to assess the
value of breast-conserving therapy in
stage I and II breast câncer, EORTC
10801 Trial. Monogr Natl Câncer Inst
1992; 11: 15-8.
18.VERONESI U, BANFI A, SALVADORI B
et a/. Breast conservation is the
treatment of choice in small breast
câncer: long-term result of a
randomized trial. Eur J Câncer 1990;
26: 668-70.
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Copyright (c) 2026 Séigio Bruno Bonatto Hatscbach, José clemente Linhares, João Antônio Guerreiro, Luis César Biedt, Leandro carvalho Ribeiro, Rafael de Almeida Tirapelle, üeo Fernando Ditzel Filho, Elcio Kupka, Rodrigo Emygdio do Nascimento
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