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January 1959

Effect of Surgery for the Primary Lesion in Breast Cancer

AMA Arch Surg. 1959;78(1):85-90. doi:10.1001/archsurg.1959.04320010089015

During the 32 years from 1926 through 1957 there have been 826 women with breast cancer seen by the staffs of the Vanderbilt University Hospital. There have been 845 breast cancers seen in this group of 826 patients. It is the purpose of this paper to review the fate of these patients and to try to get some help from this accumulated experience that will serve as a guide to the therapy advised for future patients.

Of the 826 patients that were available for study, 77 were treated primarily elsewhere and were referred to the University Hospital for treatment of metastatic cancer (Table 1). Except for the purposes of completeness, these patients are not further surveyed. There were 72 patients who did not receive any type of surgical treatment for breast cancer but on whom the diagnosis was made with relative certainty. These patients did not receive surgical treatment for