The conquest of cancerWright, H. W. S. (Henry Wardel Snarey)
Science
The conquest of cancer
Wright, H. W. S. (Henry Wardel Snarey)
Cancer
Now, here is the fact which ought to rouse us to action: the average
duration of the disease in these cured cases was nine months――_nine
precious months_ in which that remaining thirty, or forty, per cent.
might have been cured _if they had only been treated earlier_. Or, if
they had been properly examined still earlier by a trained person, the
disease could have been dealt with earlier with a still better chance
of ultimate cure, and it is Dr C. H. Mayo who has said that there is no
reason on earth why about ninety-five per cent. of all cases of cancer
of the breast cannot be permanently cured.
So far we have spoken in detail of cancer of the breast but, when we
come to deal with cancer of the uterus, we shall find that the facts
are almost exactly analogous, only that the results of indecision and
delay are even more deplorable. We find that, by the time they come for
treatment, about half the cases are quite incurable, and those which
are operable are as a rule a great deal further advanced than those of
cancer of the breast. In spite of this we find that out of two hundred
consecutive cases no less than forty per cent. were cured; that is to
say, had no recurrence within seven years. All the cases which were
operated on had had quite definite symptoms for six months. In other
words, the patient herself should have come for examination six months
before she did, and if she had been examined in the course of a proper
routine, the disease could have been discovered far earlier than was
the case.
Quite recently, a report of a series of cases has been published by
Professor Faure, a distinguished French gynæcologist, which so exactly
illustrates my views that perhaps I may be forgiven for making use of
it. Faure cut ninety-six cases of cancer of the uterus and has divided
them into good cases, mediocre cases and bad cases. It is significant
that there were only twenty-one “good” cases, thirty-five “mediocre”
cases and forty “bad” cases. The good cases are what I have called
early cases, the mediocre cases correspond to moderately advanced
cancer, and the bad cases to those which are on the border line
between operability and non-operability. His total results approximate
very nearly to most other published lists but their analysis is very
significant. Of the good cases there was one operative death; of the
remainder seventy-five per cent. were cured and twenty-five per cent.
recurred.
Of the mediocre cases there was an operative mortality of 8.57%. Of
those surviving the operation 62.5% were cured and 37.5% recurred. In
the bad cases there was a post-operative mortality of 22.5%: only six
were cured and twenty-five recurred. That is to say, respectively,
19.35% were cured and 80.65% recurred. These figures tell their own
tale.
Public-domain text, read in full here on John Shaqi.
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