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KMID : 0371319940460030326
Journal of the Korean Surgical Society
1994 Volume.46 No. 3 p.326 ~ p.334
A Clinical Review of the Breast Cancer
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Abstract
The clinical review was made in 90 cases of breast cancer that had been treated from January 1985 to December 1992 at Department of Surgery, College of Medicine, Hallym University.
@ES The obtained result are as follows;
@EN 1) The most prevalent age group was the 5th decade(35.6%) and male to female was 1:89.
2) Most common symptom and sign were palpable mass.
3) Most common tumor size was within 2~5cm diameter in 50 cases(55.6%), followed by under the 2cm diameter, over the 5cm diameter.
4) 65 cases(72.2%) of all patients visited to the hospital within 6 months from onset.
5) The primary tumor was located in the right side in 47 cases(52.2%), left side in 43 cases(47.8%) and the most frequent site of location was outer upper quadrant in 52 cases(57.8%).
6) According to T.N.M. system, the most common stage was stage was stage II in 44 cases(48.9%) followed by stage III in 25 cases(27.8%), stage I in 17 cases(18.9%), stage IV in 4 cases(4.4%).
7) The most predominant type in pathological classification was infiltrating ductal carcinoma(90.1%).
8) The xillary metastasis was present in 37 cases(43.5%).
9) The most common type of operative technique was modified radical mastectomy in 58 cases(64.5%).
10) Estrogen and progesterone receptor assay(ER, PR) were performed in 31 cases ER(+), PR(+) and ER(+), PR(-) both in 10 cases(32.3%).
11) The postoperative complication was develop in 26 cases(28.9%) of all patients. The most common type of complication in 10 cases(11.1%), followed by skin flap necrosis in 7 cases(7.8%), wound hematoma in 5 cases(5.6%), limitation of motion of
shoulder or arm in 3 cases(3.3%), pleural effusion in 2 cases(2.2%), infection in 2 cases(2.2%), flap dehiscence in 1 case (1.1%).
12) Overall 5-year actuarial survival rate after surgery was 82.78%. 5-year survival rate among the patients with stage I was 100%, 88.51% in stage II, 78.12% in stage III, 50.00% in stage IV.
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