A Surgeon Looks at Mammography

Arch Surg. 1966;93(5):853-856. doi:10.1001/archsurg.1966.01330050157026.
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THE CONSENSUS today is that mammography will continue to be an aid in the diagnosis of breast diseases if there is adequate understanding of the indications and limitations of its use.

Mammography is not a new procedure. Soft tissue roentgenology of the breast was first used in 1913 by Albert Salomon,1 when as a surgical resident in Germany, he used x-ray films of the breast to correlate the gross pathology and was the first to appreciate the punctate calcifications occurring in carcinoma of this organ. He was also the first to detect by x-ray film an occult cancer in a breast removed for a large cyst. The clinical application of the technique came much later with Stafford Warren2 in 1929, and except for sporadic interest on the part of a few investigators, such as Leborgne,3 it was in general disuse as a clinical aid because of poor


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