October 31, 1977

Current Trends in the Management of Breast Cancer

Author Affiliations

Howard University Washington, DC


edited by Robinson R. Baker, 159 pp, with illus, $14, Baltimore, Johns Hopkins University Press, 1977.

JAMA. 1977;238(18):1960. doi:10.1001/jama.1977.03280190062040

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This book gives an updated account of our current knowledge concerning breast cancer, emphasizing its epidemiology, radiology, pathology, and treatment. The senior author points out that more detailed information may be obtained from larger volumes.

The entire book is well done and will answer questions for medical students, house staff, and practicing physicians. The first chapter (on epidemiology) discusses risk factors, which include geographic and ethnic factors, increasing age, age at first giving birth, parity, age at menarche, age at natural menopause, oophorectomy, nutritional considerations, previous cancer, familial history, and prior benign breast disease. The chapter on breast cancer pathology emphasizes the correlation of histological findings with prognosis and treatment and discusses the concepts of in situ carcinoma, which is not a clinically detectable lesion. The chapter on radiology points out the great value of mammography.

The authors express their opinions regarding the various forms of therapy and their relative