Late Recurrence After Radical Operation for Carcinoma of the Breast

Woolsey, George

doi:10.1097/00000658-192412010-00013

Cited by 7 publications

(1 citation statement)

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“…In every case in the series persisting carcinoma cells were found, although the destructive effect of the radiation was often Eig. 38 great. The details of the histologie findings in representative cases in this series were reported by Beach.9 I include photomicrographs from one of these cases.…”

Section: Role Of Radiationmentioning

confidence: 99%

Carcinoma of the Breast

Haagensen¹

1948

JAMA

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helpful in this connection : ( 1 ) it is rare for a patient with common duct stone not to have had colic at some time and (2) it is rare for a stone to cause complete obstruction of the ducts for any length of time.Strictures.-Postoperative strictures of the biliary ducts are on the increase and as always present a grave problem for the surgeon. Diagnosis, however, is easy if the examining physician inquires carefully into the postoperative course of the patient. A story of intermittent jaundice with biliary fistula which alternately opened and closed is almost diagnostic. In late cases splenomegaly and vascular spiders are not uncommon, pruritus is severe, and latent hemorrhagic tendencies are often detected. Laboratory studies often indicate evidence of injury to the parenchyma of the liver, which is not ordinarily of a degree to interfere with successful surgical results. Chronic Destructive Pancreatitis With or WithoutStones.-Chronic destructive pancreatitis with or without stones is commoner than is generally believed. It may be recognized by the persistence and severity of its painful seizures, by the fact that it may be associated with steatorrhea, fatty liver and diabetes mellitus and by the evidence of régurgitation of pancreatic enzymes, lipase and amylase, into the blood stream. It is a dramatic and violent disease, unlike the insidious pancreatic carcinoma. It rarely produces complete biliary obstruction and may pass through numerous episodes without demonstrable icterus. INDICATIONS AND CONTRAINDICATIONS TO SURGICAL TREATMENT

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Section: Role Of Radiationmentioning

confidence: 99%

Carcinoma of the Breast

Haagensen¹

1948

JAMA

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Peritoneal Carcinomatosis Forty-One Years After Radical Mastectomy

Doyle¹

1952

JAMA

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Fate of patients with recurrent carcinoma of the breast.Recurrence five or more years after initial treatment

Papaioannou

Tanz

Volk

1967

Cancer

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The appearance of metastases many years after primary treatment is not rare. The factors which determine prolonged latent periods are unknown. The belief that metastases which are latent for many years pursue a slow course after clinically evident, was not substantiated in several instances. This study undertook to identify possible characteristics of such patients and determine their fate. Fifty‐seven women with breast cancer whose recurrences developed 5 years or more after treatment were studied. Whereas the mean interval from treatment to recurrence was 10.4 years, the mean survival time after recurrence averaged 1.9 years. A comparison of this group with another group of 66 patients who developed recurrences between one and 2 years after treatment revealed only a slight and statistically insignificant (P < .09) difference in survival time after recurrence between these groups. In the majority of patients in this study metastatic breast cancer remaining latent for prolonged periods tends to pursue a comparatively rapid course once it becomes clinically manifest; this is only slightly different from the patient with early recurrence. However, a small percentage of patients in both groups will survive for long periods of time after metastases appear.

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Late Recurrence After Radical Operation for Carcinoma of the Breast

Cited by 7 publications

References 0 publications

Carcinoma of the Breast

Carcinoma of the Breast

Peritoneal Carcinomatosis Forty-One Years After Radical Mastectomy

Fate of patients with recurrent carcinoma of the breast.Recurrence five or more years after initial treatment

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