Specialist surgeons and survival in breast cancer

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7039.1155 (Published 04 May 1996) Cite this as: BMJ 1996;312:1155

Breast cancer is a medical, not a surgical, disease

  1. Karol Sikora
  1. Professor of clinical oncology Royal Postgraduate Medical School, Hammersmith Hospital, London W12 ONN

    EDITOR,—There have now been several studies of comparative survival of women with breast cancer under the care of different surgeons. Charles R Gillis and David J Hole's unique and revealing analysis in west Scotland is a further indictment of the haphazard organisation of NHS cancer services.1 If the findings of this study are extrapolated nationally, then nearly 11000 women died unnecessarily during the 1980s—surely a major scandal of neglect …

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