0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Treatment of Breast Cancer-Reply

Jerome A. Urban, MD
JAMA. 1985;254(23):3312. doi:10.1001/jama.1985.03360230042019.
Text Size: A A A
Published online

In Reply.—  The need for long-term, observed follow-up evaluation of a treatment regimen for primary breast cancer is brushed aside by Dr Wizenberg. Many studies indicate little difference in five-year follow-up when different procedures are applied to patients with similar extent of disease. However, inadequate local therapy that results in increased local recurrence is reflected in diminished ten-year survival.1-3The study quoted was based on actuarial five-year data, following an average follow-up of only 39 months, which is inadequate for proper evaluation of a therapeutic procedure for breast cancer. The complications of mastectomy Dr Wizenberg mentions—possible anesthetic death, persistent chest wall discomfort, edema of the arm, and limitation of motion of the arm—also accompany lumpectomy with axillary dissection, which is customarily performed before aggressive radiation therapy is directed to the remaining breast tissue.4Lymphangiosarcoma of the arm almost never appears, except when radiation therapy follows axillary dissection. Finally,

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();