Biomedical subjects
Publications and source records attributed to R M Cunningham.
The creation of demand for hospital services has no legitimate purpose when it results in the sale of services that are not needed, and competition among providers can be an added cost. For these reasons, marketing principles should be applied in hospitals with an awareness of the limitations established by the ethic that marks the difference between hospitals and other industry.
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The historical management of breast cancer leading up to the Halsted era is reviewed. Radical mastectomy is examined and evaluated in the light of cancer staging, and different modes of treatment are discussed. The question of what type of surgery and adjuvant therapy is best for each patient is not fully answered and awaits further study and clinical trials. The future promises an immunobiologic approach in the treatment of breast cancer in addition to early operation.
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