There are two distinct surgical methods for carcinoma of the breast, one radical, the other conservative. The conservative operator advocates a simple removal of the offending neoplasm without any attempt to extirpate glands from the surrounding areas, while the radical performer encourages the obliteration of all questionable tissue, including muscles and fascia, and the cleaning out of all gland-bearing spaces contiguous to the cancer field.
Among radiation therapeutists there is a similar dual point of view. Many radiologists are inclined to the use of light exposures in order to obtain palliation without endangering normal structures around the field; others take the opposite point of view and maintain the necessity of destroying all cancer cells in the involved area as well as every aberrant cell contiguous to the affected field. As with surgery so also with radiology; the two groups can find ample grounds on which to found their separate claims.
SOILAND A. THE MANAGEMENT OF BREAST CANCER. JAMA. 1932;98(10):786–788. doi:10.1001/jama.1932.02730360008002
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: