title: [The current indications for Madden's radical mastectomy in our experience. A critical review of 201 consecutive patients].
abstract: The clinical pathological data regarding the 201 patients (203 operations running) who underwent radical mastectomy according to Madden in the II Division of General Surgery at Brescia Civil Hospital in the period 1993-1994, have been reexamined in order to check the real need of radical surgery. This further analysis, apart from the patients with neoplasias of considerable dimensions (T2; > 2 cm), has been carried out on 100 tumors smaller dimensions (T1; < 2 cm) and has confirmed the necessity of radical surgery in 87 cases. Of the 13 operations (6.4%) that have been considered "improper" 2 were due to erroneous clinical staging (dubious cutaneous infiltration) and 5 (2.5%) presented a neoplastic diameter of exactly 2 cm which only partially justified radical surgery. In six patients (2.9%) we haven't found clinical pathological elements which contraindicated conservative surgery.
authors.affiliation: II Divisione di Chirurgia Generale, Spedali Civili di Brescia.
authors.forename: D
authors.initials: D
authors.lastname: Pinelli
authors.forename: R
authors.initials: R
authors.lastname: Vaiana
authors.forename: A
authors.initials: A
authors.lastname: Bianchi
authors.forename: A
authors.initials: A
authors.lastname: Alghisi
authors.forename: F
authors.initials: F
authors.lastname: Ragni
authors.forename: M
authors.initials: M
authors.lastname: Braga
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D000075202:Contraindications; D005260:Female; D006801:Humans; D007558:Italy; D008207:Lymphatic Metastasis; D015411:Mastectomy, Modified Radical / Q000379:methods* / Q000706:statistics & numerical data; D008875:Middle Aged; D009367:Neoplasm Staging; D018714:Radiotherapy, Adjuvant; D012189:Retrospective Studies