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December 20, 1985

Treatment of Breast Cancer

Author Affiliations

Mercy Health Center Oklahoma City

JAMA. 1985;254(23):3312. doi:10.1001/jama.1985.03360230042018

To the Editor.—  In his editorial in the June 28 issue of JAMA, Dr Urban,1 among other comments, dredges up the issue of the inadequacy of five-year survival data despite the fact that there now are numerous articles with ten-year and longer data. The importance of the study2 that he finds inadequate is the fact that even in the short term the results of lumpectomy, axillary dissection, and radiation therapy appear superior to the results of total mastectomy; furthermore, those promising early results are similar to the early results noted in the published reports of longer-term studies and give credence to the belief that the results will hold up with the passage of time.Dr Urban also carries the report of Lipsztein et al3 well beyond anything that is contained therein and implies that the sequelae of breast irradiation are so much to be feared as to