title: [The diagnosis and treatment of breast cancer (from the experience of the Surgical Clinic of the District Hospital, Sofia)].
abstract: Based on a survey of literature reports dealing with mammary gland cancer, the up-to-date views on the problems related are highlighted. The different stages of the diagnostic and treatment process along with the prognostic trends are discussed. The experience with diagnosing and treating breast cancer, accumulated in the surgical clinic of the District Hospital-Sofia, is analyzed against the background of current concepts and trends along this line. The study covers a 7-year period (1986 through 1993) during which a total of 1,433 patients are treated--192 with benign conditions and 1,241 with malignant disease of the mammary gland; of the total 1,352 are subjected to operation. Emphasis is laid on the successful diagnostic activity in the mammology department of the hospital. The diverse types of operative interventions in breast cancer are discussed, with a special attention focused on organ-salvaging procedures. The postoperative results are evaluated in 359 cases subjected to follow-up study over a period ranging from 1 to 5 years. The clinical case material is discussed with a special reference to the indications for operative tactics, and combined radio-, chemo- and hormonotherapy, pointing out the probable underlying causes of post-operative relapses. The latter group includes patients operated on elsewhere also. The inferences reached summarize the author's views and recommendations concerning the diagnostic and therapeutic approach to mammary gland cancer.
authors.forename: S
authors.initials: S
authors.lastname: Savchev
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D018567:Breast Neoplasms, Male / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D002031:Bulgaria / Q000453:epidemiology; D002648:Child; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006767:Hospitals, District / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008297:Male; D008408:Mastectomy / Q000379:methods / Q000706:statistics & numerical data; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology
vernacular_title: Kŭm diagnostikata i lechenieto na raka na mlechnata zhleza (iz opita na Khirurgicheskata klinika pri Okrŭzhna bolnitsa--Sofiia).