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February 22, 1965

Surgery of the Breast

Author Affiliations

Gainesville, Fla

JAMA. 1965;191(8):683. doi:10.1001/jama.1965.03080080073043

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This compact, easily read volume literally exudes common sense. It is written by an obviously observant general surgeon and is based largely on his own experience. The chapter on examination is delightfully simple and straightforward. Descriptions of surgical techniques are unusually lucid. The author makes an important contribution when he stresses, for breast biopsy, the value of curvilinear, as contrasted with radial, incisions. He makes another signal contribution in emphasizing the value of subcutaneous simple mastectomy, which not only preserves the nipple but also makes possible later augmentative reconstruction.

The presentation of radical mastectomy for cancer is well done, although the defense of this procedure as the treatment of choice (as opposed to both more conservative and more radical procedures) is somewhat arbitrary and authoritarian. He does not attempt to establish the therapeutic value of lymph node dissection, although he clearly points out the prognostic significance of axillary pathology.


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