SURGERY VERSUS RADIATION THERAPY IN TREATMENT OF PRIMARY BREAST CANCER

这项研究的目的是确定是否乳房- 有限手术和确定性保留治疗方案 辐射提供了相当于局部控制和生存， 早期乳腺癌患者的乳房切除术。 下班后- 向上确认局部疾病，患者被随机分配到 无论是初次手术还是初次放疗。 治疗的患者 乳房切除术的患者提供乳房再造。 所有患者 接受完全腋窝淋巴结切除术; 病理阳性淋巴结和阴性淋巴结 雌激素受体阴性的淋巴结接受化疗。

The purpose of this study is to determine whether a breast- conserving treatment program of limited surgery and definitive radiation offers equivalent local control and survival to mastectomy in patients with early stage breast cancer. After work- up confirms localized disease, patients are randomly assigned to either primary surgery or primary irradiation. Patients treated with mastectomy are offered breast reconstruction. All patients undergo complete axillary node removal; those patients with pathological positive lymph nodes, and those with negative lymph nodes who are estrogen receptor negative receive chemotherapy.