Lobular carcinoma of the breast.

Archivum chirurgicum Neerlandicum Pub Date : 1977-01-01
J J Doeven
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Abstract

Lobular carcinoma of the breast, both the in situ and the infiltrating type, is discussed on the basis of three observations. Mammography may be useful, although if often leads to the diagnosis of mastopathy. In cases of in situ lobular carcinoma, ablation of the breast constitutes an adequate therapy. The adequacy of subcutaneous removal of the mammary parenchyma is doubtful. In infiltrating lobular carcinoma, radical mastectomy by Halsted's or Patey's method is the treatment of choice. In view of the frequent bilaterality of the condition, an ample elective biopsy of the identical quadrant of the contralateral breast should be performed in every case.

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乳腺小叶癌。
乳腺小叶癌,无论是原位型和浸润型,是讨论在三个观察的基础上。乳房x光检查可能是有用的,尽管它经常导致乳房病变的诊断。对于原位小叶癌,乳房消融是一种适当的治疗方法。皮下切除乳腺实质是否足够值得怀疑。对于浸润性小叶癌,采用Halsted或Patey的根治性乳房切除术是治疗的选择。鉴于这种情况经常发生在双侧,对侧乳房的同一象限应进行充分的选择性活检。
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