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September 1982

Conservative Treatment of Axillary Adenopathy due to Probable Subclinical Breast Cancer

Author Affiliations

From the Departments of Radiotherapy (Drs Vilcoq, Calle, and Ferme) and Pathology (Dr Veith), Institute Curie, Paris.

Arch Surg. 1982;117(9):1136-1138. doi:10.1001/archsurg.1982.01380330004002

• Eleven female patients were treated conservatively by radical radiotherapy to the breast and ipsilateral lymphatics for metastatic adenocarcinoma in an axillary lymph node without clinical or mammographic evidence of a breast cancer. Ten of 11, four of five, and three of four were alive and free of disease 5, 10, and 15 years later, respectively. Of the 11 patients who were followed up for a minimum of five years, three (27%) had local recurrences: one at six, one at 11, and one at 14 years. The latter two recurrences were salvaged by secondary mastectomy. The cosmetic results were excellent and no serious irradiation complications were observed. Mastectomy may not be needed for patients with axillary adenopathy due to a probable subclinical breast cancer, since the long-term prognosis after radiotherapy is good and salvage surgery can be performed if recurrences develop.

(Arch Surg 1982;117:1136-1138)

Feuerman L, Attie JN, Rosenberg B:  Carcinoma in axillary lymph nodes as an indicator of breast cancer . Surg Gynecol Obstet 1962;114:5-8.
Owen HW, Dockerty MB, Gray HK:  Occult carcinoma of breast . Surg Gynecol Obstet 1954;98:302-309.
Westbrook KC, Gallager HS:  Breast carcinoma presenting as an axillary mass . Am J Surg 1971;122:607-611.Article
Fletcher GH:  Clinical dose-response curve of subclinical aggregates of epithelial cells . J Radiol Electrol Med Nucl 1972;53:201-206.
Calle R, Pilleron JP, Schleinger P, et al:  Conservative management of operable breast cancer: Ten years experience at the Curie Institute . Cancer 1978;42:2045-2053.Article
Ashikari R, Rosen PP, Urban JA, et al:  Breast cancer presenting as an axillary mass . Ann Surg 1976;183:415-417.Article
Copeland EM, McBride CM:  Axillary metastasis from unknown sites . Ann Surg 1973;178:25-27.
Harrington SW:  Results of surgical treatment of unilateral carcinoma of breast in women . JAMA 1952;148:1007-1011.Article
Donegan WL, Perez-Mesa CM, Watson FR:  A biostatistical study of locally recurrent breast carcinoma . Surg Gynecol Obstet 1966;122:529-540.