There is at present a large hiatus in diagnosis of cancer. On the one hand, persons who presume that they are well flock to the so-called cancer prevention clinics where, despite the expenditure of considerable time, effort and money, relatively few cancers are found. On the other hand, the clientele of the centers for treatment of cancer is mostly made up of patients who have well established malignant neoplasms. Analysis of the reasons for delay in treatment of the latter group discloses that a large share of the responsibility for delay continues to rest on the first physicians consulted by the patients having cancer and that it is questionable whether since 19381 the physician's relative share of the responsibility has been reduced.2
This diagnostic hiatus which exists for cancer in general seems to be particularly noticeable in the lymphoma-leukemia field. Few lymphomas or leukemias are found in a
CRAVER LF. LYMPHOMAS AND LEUKEMIAS: The Value of Early Diagnosis and Treatment. JAMA. 1948;136(4):244–249. doi:10.1001/jama.1948.72890210001005
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