V. The Value of Simple Mastectomy and Radiotherapy in the Treatment of Cancer of the Breast

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Abstract
An account has been presented of the method of treatment at present in use in Edinburgh. It must be accepted as representing but one direction in which the survival rates of breast cancer may be improved. There may be other better methods. Considerable emphasis has been placed on the importance of assessing the true value of a method of treatment so that better methods may be recognised without undue delay. The view has been expressed that the publication of results of selected cases has greatly confused the issue and has tended to convey the impression that radical mastectomy is a highly successful method of treatment of breast cancer. When radical mastectomy is the only method of treatment available, and when all cases coming to a large general hospital are taken into account, the five year survival rate is unlikely to exceed 25 per cent. A brief account of the method of treatment by simple mastectomy and radiotherapy has been presented. The five year survival rate of all cases coming to the Royal Infir...

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