The ‘view that a breast cancer makes a stately progression through biologically distinct and distinguishable stages and that the grade worsens as the tumour enlarges (assumptions that are at the heart of the original explanation of how mammography “works”), are no longer part of mainstream thinking about breast cancer biology… It seems as if the “die is cast” fairly early in the life of a breast cancer. Intrinsic subtypes hold true as cancers grow and metastasize, and the sojourn time varies from subtype to subtype. Some breast cancers regress. Others grow very rapidly. These are not ideal biologic circumstances for the success of an “across the board” screening program. ‘ ‘Most women with a screen-detected breast cancer are (therefore) either diagnosed early (but with no effect on outcome) or are overdiagnosed.’ Screening mammography: the turning of the tide? W D Foulkes. Curr Oncol. 2014 Oct; 21(5): 205–207. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4189559/05–207.
Nothing Personal: Disturbing Undercurrents in Cancer Care
Used in medical education.
Includes referenced discussion sections for evidence-based practice.
- Medical Journalists' Association Open Book Award
"A landmark for the patient voice"
- Macmillan Cancer Support
"A remarkable book... essential reading for all who deal with cancer patients - health professionals, politicians, health service developers, carers and, of course, patients themselves... will surely inspire change."
- Professor Karol Sikora in his foreword.