Surgery of Primary Breast Cancer

  • Bernard Fisher


Whereas for almost 100 years radical mastectomy was virtually unchallenged and accepted as standard therapy for clinically curable female breast cancer, there presently exists great controversy and actual confusion regarding the management of that disease. Women with breast cancers may have surgical procedures ranging from extended radical mastectomy with internal mammary node dissection to “lumpectomy,” depending entirely upon the belief of the surgeon. Unfortunately, more often than not the decision regarding which operation to employ has been based upon information obtained from poorly carried out retrospective analyses of heterogeneous groups of case records (the comparison of data which are worthless because they were acquired from divergent series of patients); peer pressure; emotionalism; and an outmoded concept of tumor biology. It is the latter which this reviewer considers the most significant factor responsible for the present period of clinical uncertainty.


Breast Cancer Axillary Node Lobular Carcinoma Contralateral Breast Axillary Dissection 
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Copyright information

© Springer Science+Business Media New York 1977

Authors and Affiliations

  • Bernard Fisher
    • 1
  1. 1.Department of SurgeryUniversity of PittsburghPittsburghUSA

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