A clinical study was performed the 83 cases of primary breast cancer treated during 12 years from Mar. 1980 to Mar. 1992 a the Department of General Surgery, St Benedict Hospital, Pusan.
@ES the following results were obtained;
@EN 1) The mot prevalent age group was 5th decade(31 cases, 37.3%).
2) The number of the patients who showed 6 months duration of symptoms was 46 cases(55.4%) and 12 months duration of symptoms, 67 cases(80.6%).
3) The most frequent clinical symptom was palpable breast mass(78 cases, 94.0%).
4) The primary tumor was located on the left side in 45 cases(54.2%), right side in 38 cases(45.3%). The most frequent site of location was upper outer quadrant(47 cases, 56.6%),
5) the most frequent tumor size was 2~5cm in diameter( 47 cases, 56.7%).
6) According to TNM system there were 3 cases(3.6) of stage 0, 6 cases(7.2%) of stage I, 47 cases956.6%) of stage II, 17 cases(20.5%) of stage III, 10 cases(12.1%) of stage IV.
7) The most frequent pathologic type was infiltration ductal carcinoma(65 cases, 78.3%).
8) Axillary lymph node involvement was noted in 50 cases(60.2%).
9) Auchincloss' transverse incision was used in 55 cases(66.3%).
10) The operation types in 83 cases were reviewed;
Auchincloss' modified radical mastectomy in 59 cases(71.1%), Patey' s modified radial mastectomy in 8 cases(9.6%), Standard radical mastectomy in 8 cases(9.6%), Simple mastectomy with axillary dissection in 5 cases(6.1%), Simple mastectomy in 2
cases(2.4%), Quadrantectomy in 1 case(1.2%).
11) Adjuvant chemotherapy and hormonal therapy were performed in 65 cases(78.3%).
12) The most frequent postoperative complication was seroma(11 cases, 13.3%).
13) The 5 year survival rate in 83 patients was 67.5% according to Kaplan- Meier Estimate, 100% in Stage 0, I, 94% in stage II, 68% in stage III, 20% in stage IV, And 5 year survival rate was 52% in axillary lymph node involvement group and 77%
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axillary lymph node involvement group, 74% in Infiltrating ductal ca, and 89% in Medullary ca.
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