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June 3, 1974

Tumor Growth Rate as Diagnostic Test for Lung Cancer

Author Affiliations

Scottsdale, Ariz

JAMA. 1974;228(10):1230. doi:10.1001/jama.1974.03230350019017

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To the Editor. —  Contrary to K. Moser's editorial (227:1167, 1974), I think the management decisions in these cases are not easy, but evaluation of all available information will be helpful, and "statistics" in this situation should not be considered a dirty word.K. Moser states that my "comments about 'unnecessary surgery' based on statistics alone become inappropriate (if not frankly erroneous) when applied to management of the individual patient," but Dr. Moser will be unable to find in my article any such indication that decisions for or against surgery are based on statistics alone.Dr. Moser's misleading statement that my survival data concern "metastatic, not primary, lesions of the lung" is assumed to be the result of careless reading rather than an effort to discredit the paper. The same is true of some of his other statements: he takes out of context my inclusion of all forms of bronchogenic