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JEROME J. DECOSSE, MD
Milwaukee

Arch Surg. 1978;113(9):1111.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.—I have read Dr Levitt's articles and I stand by my editorial comment. Achievement of local control by radiation therapy or operation in a patient with disseminated breast cancer is of secondary importance to control of distant metastases, which requires a systemic therapy. The caveat about a possible decreased survival rate associated with radiation therapy was properly and conservatively stated.

Dr Levitt brings to the Archives a debate he has carried out in another journal. For a balanced review of the subject, a list of additional references that will follow are recommended to the reader. . . . [Full Text PDF of this Article]

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