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May 27, 1974

Medical News

JAMA. 1974;228(9):1081-1094. doi:10.1001/jama.1974.03230340003001

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'Simulated partial mastectomy' leaves tumor cells in most breasts  There is at present a major controversy between proponents and opponents of conservative surgery for the treatment of breast cancer. However, there have been few studies providing any strong documentary evidence for either position.The subject has been a matter of discussion in lay publications and some of the articles have urged women to tell their physicians what kind of treatment they prefer."It is clear that we must have a basis in fact for treating patients, and we must have facts for the physician to give his patients," Paul P. Rosen, MD, told the recent James Ewing Society meeting on Maui, Hawaii.It was in an attempt to provide some of the facts that an unusual study was undertaken. Dr. Rosen, assistant professor of pathology at Cornell University and associate attending pathologist at Memorial Hospital, New York, reported to