The emergence of effective cancer chemotherapy is one of themajor medical advances of the second half of the 20th century.In certain neoplasms such as gestational choriocarcinoma,childhood acute lymphoblastic leukemia, and subgroups of Hodgkin'sdisease and non-Hodgkin's lymphoma chemotherapy is oftencurative, and the promise of long-term survival makes therapywell worth the risk of adverse effects and the financial costs.Moreover, adjuvant chemotherapy for breast, colon, or lung cancercan augment the survival benefit afforded by surgical management.Even in patients with advanced solid tumors or recurrences despitesurgery, chemotherapy can offer lengthened survival of . . . [Full Text of this Article]
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From the Hollings Cancer Center and the Department of Medicine, Medical University of South Carolina, Charleston.
This editorial was published at www.nejm.org on April 29, 2004.
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