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conferenceseries.com
Volume 2, Issue 3 (Suppl) Breast Can Curr Res, an open access journal
ISSN: 2572-4118 Breast Cancer 2017
June 15-17, 2017
June 15-17, 2017 London, UK
5th World Congress on
Breast Cancer
Volkmann’s breast operation (modified radical mastectomy) and its value in modern treatment of
breast cancer
Valerijus Ostapenko
National Cancer Institute, Lithuania
Introduction: We have an insufficient scientific data about pre-Halstedian (1867/1875 - 1894) period of breast cancer history,
about the results of breast cancer treatment. The primary aim of this article is to present authentic scientific data about pre-
Halstedian period of breast cancer history, evaluate the value of this period and the results of breast cancer treatment. The
secondary aim of this article was to compare the 3-year retrospective results of Volkmann’s breast operation (according to our
day lexicon-modified radical Madden mastectomy) with 3-year retrospective results of radical Halsted-Meyer mastectomy.
Methods: This article is based on the original papers, and the authentic manuscripts of the European and the American
scientists of the end of XIX -beginning of the XX century with their images, and images of breast operations.
Results: According to presented data, in pre-Halstedian period, Volkmann’s operation, become the gold standard of breast
cancer treatment. During 20-25 years, initial 3 year results of Volkmann’s operation were significantly improved from 17.8%-
23 % in 1880/1881 to 35%-45% in 1894/1904. During 30 years, the initial 3year results of radical (Halsted-Meyer) mastectomy
were refined from 45% in 1889-1894 to 26.6%-32.2% in 1931. Retrospectively, the latest results of Volkmann’s operations
with regular dissection of axilla were similar with the results of radical Halsted mastectomy. In 1965, Madden presented
modified radical mastectomy with removing breast, pectoral fascia, dissection of axillae and preserving pectoral muscle and
reintroduced Volkmann’s operation. Even today, modified radical (Madden) mastectomy – Volkmann’s operation is a standard
of breast cancer treatment.
Conclusion: The period of pre-Halstedian breast cancer history, the results of classic Volkmann’s breast operation, the names
of prominent European and American surgeons were forgotten, and our duty is to reintroduce it.
Biography
He defended his doctoral dissertation "Plastic and reconstructive surgery corrective sergančiosioms ikinavikinėmis breast disease and breast cancer", in 2000 - a
doctoral thesis habilitation "in patients with breast cancer and ikinavikinėmis disease treatment. Dissertations detailed analysis of the combined results of treatment
of breast cancer, and made recommendations to patients treated with improving the quality of life. V. Ostapenko the chief researcher, together with co-authors
published more than 118 scientific papers, 4 rationalization proposals author. Actively participate and present reports in international oncologists and plastic
reconstructive surgeons congresses held in the Baltic countries, Poland, Russia, Greece, Austria, Australia, Portugal, Belgium, Canada, the United States.
Valerijus Ostapenko, Breast Can Curr Res 2017, 2:3(Suppl)
DOI: 10.4172/2572-4118-C1-005