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April 3, 1937


JAMA. 1937;108(14):1145-1151. doi:10.1001/jama.1937.02780140001001

In almost every statistical study of cancer results that has ever been made, the one conclusion which is always stressed is that the factor which, far more frequently than any other, determines the fate of the patient is the stage at which proper treatment is instituted. On this conclusion are based all the campaigns of public instruction. In the treatment of cancer of the cervix the profession seems to have reached an essential impasse with our present-day methods in spite of the fact that improvements and refinements in radiotherapy are still being pushed, with rather unimpressive improvements in results here and there. For the present, therefore, the obvious point of attack in the cancer campaign lies in the effort to increase the proportion of the early cases in which treatment gives such a worth while chance for cure.

Except for the occasional "accidental" find, one cannot be expected to discover

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