Pathology Consultants, Westlake Village, California, USA.
Cancer. 2013 Apr 15;119(8):1450-66. doi: 10.1002/cncr.27889. Epub 2013 Jan 3.
In the 3 decades from 1910 to 1940, more progress took place in cancer research and the diagnosis and treatment of cancers than during the prior centuries combined. The discovery of several carcinogens, precancerous conditions, and hereditary cancers adduced new thoughts about the genesis of cancers. Even though diagnostic radiology and radiation therapy became apposite specialties, surgery retained its primacy in the treatment of cancer patients. The delineation of new and distinct neoplastic entities, several precancerous lesions, and noninvasive carcinomas as well as the introduction of histopathologic grading of cancers promulgated cogent changes in therapy. Yet, with all the advances in the diagnosis and treatment of cancers, very little betterment could be demonstrated in the overall survival of patients, and by the end of the 1930s, cancer became the second most common cause of death in the United States.
在从 1910 年到 1940 年的 30 年中,癌症研究以及癌症的诊断和治疗取得的进展比过去几个世纪的总和还要多。几种致癌物质、癌前状态和遗传性癌症的发现,为癌症的发生提出了新的思路。尽管诊断放射学和放射疗法成为了适当的专业,但手术在癌症患者的治疗中仍然占据着首要地位。新的、独特的肿瘤实体、几种癌前病变和非浸润性癌的划定,以及癌症的组织病理学分级的引入,都推动了治疗方法的显著改变。然而,尽管在癌症的诊断和治疗方面取得了许多进展,但患者的总体生存率并没有明显提高,到 20 世纪 30 年代末,癌症成为美国第二大常见死因。