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J C Lavigne

Publications and source records attributed to J C Lavigne.

At least 19 recordsLinked to original sources

[Cancer of the breast: Interrelations betwpen the primary tumor and the axillary and internal mammary nodes].

In a series of 300 patients operated for a cancer of the breast the internal and external mammary chain have been removed. The extemporaneous analysis has enable us to verify and complete the data collected at the clincial exmination. By this mean, we have selected on objective criteria the most favorables cases for conservative surgery. The histological examination of the lymph nodes shows a stricking relation between the T. and the N. This confirms the clinical conclusions. Finally we have shown that the appreciation of the T is of the outmost importance to predict an eventual envolvement of the internal mammary chain.

Axilla

Cancer of the breast. A study of prognostic factors as a guide in selecting cases for conservative treatment.

We have analysed 2.649 observations of cancer of the breast in order to study factors influencing the prognosis. We have found a definitive relationship between the extend of the primary tumor, the condition of the regional lymph nodes and the presence or absence of metastases. A careful clinical examination remains of the utmost importance to assess the characteristics of tumor and nodes. This associated with systematic search for bone and pulmonary metastases, are the basic elements of a sound prognosis. The systematic removal of the internal and external mammary node chains in the surgical cases are indispensable to complete the clinical data. So defined the stage of the disease at the time of the first treatment is by far the most important factor in assessing the prognosis. Concerning the treatment, we have obtained better results with surgery associated with radiotherapy than with surgery alone. Therefore in early cases, that is to say cancer confined to the breast, we feel justified to apply conservative surgery associated with radiotherapy.

Adult

[Results of a policy of conservative treatment of breast cancer (146 cases)].

Tumorectomy and irradiation for small cancer of the breast. Tumorectomy followed by breast irradiation and a single course of chemotherapy is the most accurate treatment for small cancer of the breast. The 5 and 10 years survival are 92.5% and 85% respectively: this demonstrates the efficacy of the conservative treatment in the control of most of the small breast cancer provided a strict selection of the cases was done. Patients who develop local recurrence have the same life expectancy than the other cases when they are soon treated by mastectomy.

Breast Neoplasms