[Prognosis and treatment of advanced breast cancer from the surgical viewpoint]

Twenty-four patients with advanced mammary carcinoma (stage T4) were treated between 1983-1986 at the Department of Surgery of the University of Bochum, Marienhospital Herne 1. The primary surgical treatment was supported in 18 cases by an ablatio modified from Patey, the ablatio simplex were performed on 4 patients; while a thoracical-epigastric flap was applied to one patient. Because of the high percentage (16.6%) of advanced breast cancer on all our breast cancer patients, we feel obliged to show the survival time of different under-groups by an interdisciplinary making follow up examination. So we believe to give a better and more different statement on the prognosis of the advanced breast cancer.