INTERCOSTAL DISSECTION AND RADICAL MASTECTOMY

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Abstract
THE STATISTICAL evidence that the early diagnosis and treatment of cancer and curability are not necessarily synonymous would make one wonder if we might not be further ahead to discard many of our present ideas about cancer. This might well be applied to the problem of treatment of carcinoma of the female breast. Particularly is this so when we realize that there has been little or no real progress in the management of this condition during the past 65 years since Halsted devised his surgical procedure of radical mastectomy. Further emphasis on the need of a more careful appraisal of our past and present accomplishments has been appearing with increasing incidence in the current literature. With these thoughts in mind it seems timely for surgeons, particularly those with accumulated experience, to view their accomplishments and failures critically from the following standpoints. First, how has the past and present surgical treatment of carcinoma of the breast affected the

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