Abstract THE STATISTICAL evidence that the early diagnosis and treatment of cancer and curability are not necessarily synonymous would make one wonder if we might not be further ahead to discard many of our present ideas about cancer. This might well be applied to the problem of treatment of carcinoma of the female breast. Particularly is this so when we realize that there has been little or no real progress in the management of this condition during the past 65 years since Halsted devised his surgical procedure of radical mastectomy. Further emphasis on the need of a more careful appraisal of our past and present accomplishments has been appearing with increasing incidence in the current literature. With these thoughts in mind it seems timely for surgeons, particularly those with accumulated experience, to view their accomplishments and failures critically from the following standpoints. First, how has the past and present surgical treatment of carcinoma of the breast affected the References 1. Haagensen, C. D., and Stout, A. P.: Carcinoma of the Breast: Results of Treatment , Ann. Surg. 116:801-815 ( (Dec.) ) 1942.Crossref 2. MacDonald, I.: Biological Predeterminism in Human Cancer , Surg., Gynec. & Obst. 92:443-452 ( (April) ) 1951. 3. Daland, E. M.: Untreated Cancer of the Breast , Surg., Gynec. & Obst. 44:264-268 ( (Feb.) ) 1927. 4. Handley, R. S., and Thackray, A. C.: Invasion of the Internal Mammary Lymph Glands in Carcinoma of the Breast , Brit. J. Cancer 1:15-20 ( (March) ) 1947. 5. Halsted, W. S.: The Results of Operations for the Cure of Cancer of the Breast Performed at the Johns Hopkins Hospital from June, 1889, to January, 1894 , Ann. Surg. 20:497-555, 1894. 6. Lewis, D., and Rienhoff, W. F., Jr.: A Study of the Results of Operations for the Cure of Cancer of the Breast Performed at Johns Hopkins Hospital from 1889 to 1931 , Ann. Surg. 95:336-400 ( (March) ) 1932. 7. Handley, R. S., and Thackray, A. C.: The Internal Mammary Lymph Chain in Carcinoma of the Breast: Study of 50 Cases , Lancet 2:276-278 ( (Aug. 13) ) 1949. 8. Saphir, O., and Amromin, G. D.: Obscure Axillary Lymph-Node Metastasis in Carcinoma of the Breast , Cancer 1:238-241 ( (July) ) 1948. 9. Urban, J. A., and Baker, H. W.: Radical Mastectomy in Continuity with En Bloc Resection of the Internal Mammary Lymph-Node Chain: A New Procedure for Primary Operable Cancer of the Breast , Cancer 5:992-1008 ( (Sept.) ) 1952. 10. Green, H. S. N., and Lund, P. K.: The Heterologous Transplantation of Human Cancers , Cancer Res. 4:352-363 ( (June) ) 1944.
A.M.A. Archives Surgery – American Medical Association
Published: Apr 1, 1953