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Early Breast Cancer: Its History and Results of Treatment

Robert M. Goldwyn, MD
Arch Surg. 1977;112(2):228. doi:10.1001/archsurg.1977.01370020122019.
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Occasionally, in the field of medical literature, a bijou appears, and this small volume is one. In a few pages, Dr Mansfield has analyzed more than 300 reports and studies concerning the treatment of breast cancer. He has resisted the temptation to allow this work to become a fount of figures, in the style of a Department of Agriculture publication.

Succinctly and objectively, he has summarized an awesome amount of data and has concluded that a patient with clinical stages I and II disease "would have an equal chance of survival regardless... of the... techniques used": extended radical mastectomy without postoperative irradiation; radical mastectomy with or without irradiation (preoperative or postoperative radiation therapy is able to decrease the recurrence, but may not be able to increase survival); modified mastectomy with or without irradiation; simple mastectomy with postoperative irradiation; or local excision with postoperative irradiation. He also notes that the value


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