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February 10, 1989

Cancer of the Breast

JAMA. 1989;261(6):924. doi:10.1001/jama.1989.03420060140053

It has been 21 years since the first edition of Cancer of the Breast by Donegan and Spratt and nine years since the second. Since then there have been major changes in our understanding of breast cancer. Despite the declaration of Feig and McLelland in the preface to their 1983 book Breast Carcinoma, Current Diagnosis and Treatment that "A cure for breast cancer has been found!",1 patients continue to die of this disease, researchers continue to search for the cause and for a cure, and surgeons still struggle with the question of what treatment plan would be best for a particular patient. The nine years since the second edition of Cancer of the Breast have produced a significant body of literature on the relationship between diet and breast disease. In addition, the surgical management of primary breast cancer has been significantly altered by the popularization of breast conservation.2