Management and survival of female XXXX : results of a national survey by the American College of Surgeons.

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This is a resume of a @entity0 carried out by the American College of Surgeons in 1978. Four hundred and ninety-eight hospitals in 47 states, Washington, D.C., and Puerto Rico participated, contributing a total of 24,136 female @entity1 with histologically confirmed @entity0 . In these @entity1 , five-year cure rates were 60.5% for clinically localized disease and 33.9% for regional disease. Five-year survival rates were 72.8% for localized disease and 49.1% for regional disease. From the 1960's into the early 1970's, there was a gradual shift away from radical mastectomy towards so-called modified radical mastectomy. In a group of @entity1 treated by either radical or modified mastectomies, the axillary nodal status, size of the @entity5 , and location of the @entity5 were examined in relation to the prognosis. In the study of number of metastatic nodes in the axilla, there were reduced cure and survival rates in @entity1 with one or more positive nodes as compared to those with negative axillary nodes. With the increase in the number of positive nodes, there was a continuing associated decline in survival and cure. The clinical size of the @entity5 also correlated well to the prognosis. With the increase in the size of the @entity5 , there was a gradual increase in the probability of axillary nodal involvement. However, in the group of @entity1 with @entity5 size smaller than 1 cm, axillary @entity3 occurred in 25%. When the axillary nodes were involved, the cure rate in those @entity1 was not significantly better than the rates for those with larger primary @entity5 in this study. @entity5 located in the medial half of the breast were associated with a slightly lower cure rate than those in the lateral half. Young @entity1 under 35 years of age had poorer survival and cure rates, although in @entity1 35-44 years of age, the five-year results were comparable to the older group of @entity1 . In blacks, @entity0 was diagnosed in a relatively more advanced stage than in whites. Survival and cure rates were generally lower for blacks, and such lower rates seem to be associated with the relatively advanced stage of the disease.
