Individualization of primary surgical therapy for breast cancer
- Contributor(s):
- Urban, Jerome A. United States. Public Health Service. Audiovisual Facility.
- Publication:
- Washington, D.C. : U.S. Dept. of Health, Education, and Welfare, Public Health Service, [1969]
- Language(s):
- English
- Format:
- Moving image
- Subject(s):
- Breast Neoplasms -- surgery Mastectomy -- methods
- Genre(s):
- Instructional Films and Videos
- Abstract:
- Jerome A. Urban, M.D. lectures, using diagrams, graphs, and photographs. Three surgical approaches to breast neoplasms are discussed: modified radical mastectomy, radical mastectomy, and extensive radical mastectomy. Modified radical is indicated when: tumor is in situ and confined to the breast, tumor is low-grade, non-aggressive. Photographs shown of Paget's disease, nipple lesions, eczema of nipple with crusting. Radiation therapy should follow surgery. Modified radicallooks better and allows better function than the radical or extensive radical. Radical mastectomies followed by radiation therapy were performed on patients with early infiltrating tumors (survival rate 50%). In patients in which the disease was confined to the breast and who were treated with post-operative radiation, the rate was 54.4%. The extended radical mastectomy was performed on patients with a high risk of internal mammary spread, recurring cancers after radical mastectomy and radiation therapy, especially parasternal recurrence. Outer quadrant recurrence was much less frequent. Survival rates were 84% in cases where the axilla was not involved and 19% where the axilla was involved. Charts by Julian Blum from Middlesex Hospital, London, show the outcome of untreated breast cancer 1805-1933 and 1902-1933. Urban gives directions for performing extended radical when tumors are in other than the outer quadrants. Slides illustrate fascia inserted internally and externally, the latter preferred. Urban repeatedly emphasized that good primary therapy produces good results, and urges mammography, attendance at cancer clinics, and self-examination. Definitive diagnosis should be made from surgically removed tissue. Physicians should be alert for breast abnormalities in clinic and office.
- Copyright:
- The National Library of Medicine believes this item to be in the public domain. (More information)
- Extent:
- 038 min.
- Color:
- Black and white
- Sound:
- Sound
- Credits:
- Jerome A. Urban.
- Provenance:
- Received: (date unknown) as a donation from the United States Public Health Service.
- Technique:
- Live action
- NLM Unique ID:
- 8801096A (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/8801096A