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May 1965

Simple and Radical Mastectomy: A Comparison of Survival

Author Affiliations

From the Department of Surgery, the University of Iowa, College of Medicine. Advanced Clinical Fellow, American Cancer Society (Dr. Den Besten).

Arch Surg. 1965;90(5):755-759. doi:10.1001/archsurg.1965.01320110091015

Introduction  VARIOUS reports have appeared in the world literature suggesting that survival of patients from breast cancer is as good following simple mastectomy as radical mastectomy.1-9 Since this proposition is completely contrary to standard concepts about cancer, it appeared worthwhile for us to study our own results. Essentially this paper is a review of what has happened to a relatively uniform group of patients in different age series. All had cancer of the breast at a similar stage of spread and were treated with either simple or radical mastectomy.

Method of Study and Results  Between 1938 and 1960, 2,398 female patients were treated at the University of Iowa Hospitals for carcinoma of the breast in various stages. Of this group, 30 patients have been lost to follow-up. For this study, two groups of patients were selected. The first group were patients 40-44 years of age and the second group