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Article
March 5, 1927

IMMUNITY TO CANCER: CANCER AND CIVILIZATION

JAMA. 1927;88(10):745. doi:10.1001/jama.1927.02680360057029

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Abstract

To the Editor:  —In his letter on cancer of the breast in Japan (The Journal, January 29, p. 342) Hoffmann says that "the statement made by Dr. Fried that 'mammary cancer is very frequent in Japan' is not supported." Those who read my letter will recall that this statement was made originally not by me but by a noted Japanese surgeon quoted by Prof. Pierre Delbet. I assume that it is not less reliable than the opinion of a few Hawaiian physicians cited by Hoffmann, who saw one or two cases of cancer of the breast in Japanese women in a lifetime.But in my letter (The Journal, Oct. 23, 1926, p. 1411) I did not intend to dispute figures on the incidence of the morbidity or mortality from cancer. I simply outlined the complexity of the cancer problem and the difficulties that face even distinguished statisticians appointed by the

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