To the Editor.—I have read the March issue of the Archives and was particularly concerned about an article on p 282 titled "Mastectomy as an Adjunct to Combination Chemotherapy" by Morris, et al. I believe that this kind of article, which in essence anecdotally relates the experience with three patients treated with any type of treatment followed for 21 months, is improperly published in a journal of your caliber. I believe that the broad-sweeping statements that the authors made, based on a small number of patients followed for an inadequate period of time, are inconsistent with good scientific reporting and with your responsibility to the medical public that reads this journal.
In addition, I would like to comment on the editorial response by Dr DeCosse, in which he stated "several studies of adjuvant radiation therapy for breast cancer have demonstrated a small but consistent increase in disseminated cancer in
LEVITT SH. Scientific Reporting Questioned. Arch Surg. 1978;113(9):1111. doi:10.1001/archsurg.1978.01370210093020