SURGERY VERSUS RADIATION THERAPY IN TREATMENT OF PRIMARY BREAST CANCER

这项研究的目的是确定乳房是否- 有限手术和最终确定的保守治疗方案 放射治疗的局部控制力和存活率与 早期乳腺癌患者的乳房切除术。下班后- UP确认局部疾病，患者被随机分配到 一次手术或一次放射治疗。接受治疗的病人 接受乳房切除术的患者会接受乳房再造。所有患者 接受腋窝淋巴结完全切除；那些患有 病理阳性淋巴结节和阴性淋巴结节 雌激素受体阴性的结节接受化疗。

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.