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JNCI Journal of the National Cancer Institute 2000 92(20):1630-1632; doi:10.1093/jnci/92.20.1630
© 2000 by Oxford University Press
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Journal of the National Cancer Institute, Vol. 92, No. 20, 1630-1632, October 18, 2000
© 2000 Oxford University Press

NEWS

After 40 Years, Mammography Remains as Much Emotion as Science

Judith Randal

For the better part of a century, it would have been unthinkable to treat primary breast cancer with anything but the operation pioneered in the 1890s by William Halsted, M.D., one of the most prominent surgeons of his day. Beginning in the 1970s, the Halsted era drew gradually to a close when randomized controlled trials found that the operation—generally known as radical mastectomy—was no more effective than less drastic surgery (sometimes in combination with radiation). Could a similar fate await the current gold-standard status of screening mammography? Will a time come when its popularity dwindles, too?

Barron Lerner, M.D., Ph.D., associate professor of medicine and public health at Columbia University in New York City, does not see it happening soon. But as the author of The Breast Cancer Wars, a book to be published by Oxford University Press next year, he noted that, while screening mammography is hardly . . . [Full Text of this Article]


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