SURGERY VERSUS RADIATION THERAPY IN TREATMENT OF PRIMARY BREAST CANCER

这项研究的目的是确定一种保乳 有限手术治疗计划和明确的放射治疗方案 早期乳腺癌患者的局部控制率和生存率相当于乳房切除术 乳癌分期。体检后确认为局限性疾病，患者 被随机分配到初级手术或初级放射治疗。 接受乳房切除术的患者接受乳房重建术。全 患者接受完全腋窝淋巴结切除；那些患有 病理阳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 pathologically positive lymph nodes receive chemotherapy.