RESUMEN
From February, 1986 through October, 1987, fifty patients with mammary carcinomas of the stages T1N0M0, T2N0M0, T1N1M0 and T2N1M0 were irradiated after breast-preserving surgery. The irradiation conditions were standardized with cobalt-60 gamma radiation or photons emitted by a linear accelerator and fixed oblique position in a specially manufactured, individual rigid foam bed. The position was checked every week at the therapy simulator with an analog tomographic attachment. The method, positioning in a 30 degrees oblique position and immobilization in an individually moulded rigid foam bed is described, and the necessity of regular tomographic controls in treatment position is underlined. Because of the short follow-up time of eight months, clinical results can only be presented with regard to early side effects and cosmetic results. A final assessment of this method is therefore not yet possible.
Asunto(s)
Neoplasias de la Mama/radioterapia , Inmovilización , Adulto , Neoplasias de la Mama/cirugía , Carcinoma/radioterapia , Carcinoma/cirugía , Carcinoma Intraductal no Infiltrante/radioterapia , Carcinoma Intraductal no Infiltrante/cirugía , Terapia Combinada , Femenino , Humanos , Mastectomía Segmentaria , Persona de Mediana EdadRESUMEN
In a study made in the follow-up clinic on 684 patients with mammary carcinoma it was found that there were 64 cases of local recurrence and 244 cases of distant metastases. In both groups the serum iron and the serum copper balance in blood tests, in relation to the clinical proof of local recurrence and/or distant metastases, was investigated. It was found that there were 43.7% pathological serum iron and serum copper findings with local recurrences and 62.7% with distant metastases. The drift apart tendency of the blood serum values in patients with distant metastases could be proved in 78.7% of the cases and in 77.5% of the cases before any clinical proof. Thus, these observations allow the statement that the blood serum iron and serum copper imbalance in blood tests is of very real value in the early diagnosis of distant metastases.