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12 Oct 2020 04:40:08 UTC
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Preventive Strikes: Women, Precancer, and Prophylactic Surgery
Modern scientific tools can identify a genetic predisposition to cancer before any disease is detectable Some women will never develop breast or ovarian cancer but they nevertheless must decide as a result of genetic testing whether to have their breasts and ovaries removed to avoid the possibility of disease The striking contrast between the sophistication of diagnosis and the crudeness of preventive surgery forms the basis of historian Ilana Lwys important study Lwy traces the history of prophylactic amputations through a century of preventive treatment and back to a long tradition of surgical management of gynecological problems In the early twentieth century surgeons came to believe that removing precancerous lesionsa term difficult to define even todayaverted the danger of malignancy This practice Lwy finds later led to surgical interventions for women with a hereditary predisposition to cancer but no detectable disease Richly detailed stories of patients and surgeons in the United States France and the United Kingdom allow Lwy to compare the evolution of medical thought and practiceand personal choicein these different cultures Preventive Strikes aims to improve our understanding of professional social and cultural responses to cancer in the twentyfirst century and to inform our reflections about how values are incorporated into routine medical practices
Author
Content Type
Ilana L
application/pdf
Language
English
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