Triple biopsy technique in cancer of the breast

ABSTRACT

Cancer of the breast should be treated by radical mastectomy only when there is reasonable expectation of cure. It is now possible to assess prognosis more logically if clinically operable patients are regarded in terms of the "triple biopsy", criteria for which operation are discussed. It is suggested that evidence of microscopic metastases to the apex of the axilla or to the internal mammary chain denotes inoperability and that in such instances radiotherapy has more to offer than radical surgery. The clinical experience with breast cancer as encountered at the University College Hospital of the West Indies for the past six years is reviewed and compared with that reported from other centres in America and Europe. Areas are indicated where local improvements are necessary. A strong plea is made for the urgent provision of better facilities and trained personnel for modern radiotherapy - surely Jamaica's most important medical need at this time (AU)