Since the first modern radical mastectomy, performed by William Stewart Halsted in 1882, much time and effort have been devoted to the study and treatment of breast cancer. In more recent years, there has been disagreement as to the best method of treatment for carcinoma of the breast. Urban1 and Andreassen et al.2 and others have suggested extended radical surgery as an approach to some cases of operable carcinoma. In contrast, McWhirter3 and others recommend simple mastectomy with x-irradiation to the axillary and internal mammary lymph nodes. Park and Lees4 doubt that any form of treatment will appreciably increase the actual cure rate of breast carcinoma. Extending beyond the controversy of ideal treatment there has been equal disagreement as to the methods of reporting series, meaning of survival or cure rates, value of early treatment, etc.
The purpose of this paper is not to take sides
KLINGER HM, BUFFINGTON R. Breast CarcinomaA Review of Cases at the Geisinger Memorial Hospital During the Years 1934-1954. Arch Surg. 1962;84(4):439–443. doi:10.1001/archsurg.1962.01300220063010
Customize your JAMA Network experience by selecting one or more topics from the list below.