In a former contribution, I reported 166 cases of mammary carcinoma in which operation was performed by radical methods, with one immediate death from postoperative pneumonia. Letters were sent out to the 165 surviving patients, or members of their families, and 101 replies were received. Of the 101 answers received sixty-three stated that the patient had been free from the disease for periods of from three to twenty-one years. Of the remaining thirty-eight patients, two were living but were suffering from recurrence, and thirty-six were found to have died of local or disseminated cancer. Four of these were not considered by their relatives to have died of cancer, but from the descriptions of the symptoms, death was obviously due to cancer, and was so considered.
Today, I am able to add twenty-four more cases, in which questionnaires were recently sent. Answers have been received from twenty-one patients. Twelve are reported