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This Month in
April 1, 2004

This Month in

Author Affiliations

Gerald W.PeskinMD

Arch Surg. 2004;139(4):357. doi:10.1001/archsurg.139.4.357

In the "Increasing Workload of General Surgery," Liu et al use the best projections available to foresee a workload increase of 31% by 2020, primarily as a result of the aging of the US population. When one combines this with the 80-hour workweek now promulgated for surgical residents, it presents a challenge for general surgeons.

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Another concept that deserves attention relates to the use of magnetic resonance imaging mammography in the surgical management of the index breast cancer. Using magnetic resonance imaging mammography immediately after a positive fine-needle aspiration or stereotactic biopsy or prior to the biopsy of a category 4/5 mammogram altered surgical management in half of the breast cancer cases in this small series at a Vermont hospital. This sort of study is an eye-opener.

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