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May 21, 1955


Author Affiliations

12A Mary Ellen Drive Charleston, S. C.

JAMA. 1955;158(3):217. doi:10.1001/jama.1955.02960030067023

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To the Editor:—  I would like to comment on the letter from Dr. Roland T. Smith of Joplin, Mo., published in The Journal, March 5, 1955, page 844. His letter concerned the article "Survival in Patients with Carcinoma of the Breast" by Dr. Dutton and myself, which appeared in the Jan. 15, 1955, issue of The Journal, page 216. Dr. Smith felt that our article was an attempt to dis:redit surgery in the treatment of breast cancer. This is not the case, nor are we advocating one form of therapy in favor of another. We presented survival curves in patients with carcinoma of the breast. Curves of patients who had radical mastectomies were compared with those who had other forms of treatment or no treatment at all. I would like to point out that one must be conservative in drawing conclusions from such a comparison. Many factors other than treatment

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