Abstract
Between 1970 and 1984, 166 patients with stages I, II breast cancer of inner or medial quadrants were treated historically with (A) radical mastectomy plus postoperative radiation therapy, (B) extended radical mastectomy, (C) radical mastectomy and (D) modified radical mastectomy, respectively. In this paper, we compared the long-term effects of each treatment modality, and the following results were confirmed. (1) Concerning the role of postoperative radiotherapy, no significant differences were obtained between Group (A) and (C) in both of 10-year disease-free and overall survival, and loco-regional control rate. (2) As for the efficacy of parasternal lymphnode dissection, prognosis of the patients treated with (D) was just the same to those of Group (B).
As a result, we conclude that modified radical mastectomy was the treatment of choice for the patients with stage I, II of inner or medial quadrants.
