History of Surgical Treatment of Breast Cancer – Empiricism and Science

Detalhes bibliográficos
Autor(a) principal: Mora, Luiz Damas
Data de Publicação: 2014
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://revista.spcir.com/index.php/spcir/article/view/340
Resumo: The history of the surgical treatment of breast cancer is very demonstrative of how the truth in medicine is circumstantial and that the way to go towards achieving it is hard. It also shows how over the centuries empiricism gives way to the scientific method, and how prospective, controlled, randomized studies determine the change of the concepts and the consequent modification of surgical techniques. These techniques range from the barbarian ,in the current concepts, methods from the ancient Greece extending bind to the discovery of anesthesia – that stand out names such as Henri de Mondeville, Guy de Chaulliac and Lanfranco, in the Middle Age, von Hilden and Ambroise Paré in the Renaissance, orH.F. Le Dran, J.L. Petit and Benjamin Bell, in the Enlightenment period – just to more and more meticulous and rational surgical techniques in Contemporary Age dues successively to James Paget, Charles Moore, William Stewart Halsted, William and Richard Handley, Geoffrey Keynes, Robert McWhirter, George Crile Jr., Cushman Haagensen, Dahl-Iversen, Jerome Urban, David Patey, Bernard Fisher and Umberto Veronesi, among others, who were able to create new paradigms in the History of surgical treatment of Breast Cancer, until achieving the current practice of conservative surgery (breast and axillary) with reconstruction.Keywords: Breast Cancer, Surgery, History. 
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spelling History of Surgical Treatment of Breast Cancer – Empiricism and ScienceHistória do Tratamento Cirúrgico do Cancro da Mama* – Empirismo e CiênciaThe history of the surgical treatment of breast cancer is very demonstrative of how the truth in medicine is circumstantial and that the way to go towards achieving it is hard. It also shows how over the centuries empiricism gives way to the scientific method, and how prospective, controlled, randomized studies determine the change of the concepts and the consequent modification of surgical techniques. These techniques range from the barbarian ,in the current concepts, methods from the ancient Greece extending bind to the discovery of anesthesia – that stand out names such as Henri de Mondeville, Guy de Chaulliac and Lanfranco, in the Middle Age, von Hilden and Ambroise Paré in the Renaissance, orH.F. Le Dran, J.L. Petit and Benjamin Bell, in the Enlightenment period – just to more and more meticulous and rational surgical techniques in Contemporary Age dues successively to James Paget, Charles Moore, William Stewart Halsted, William and Richard Handley, Geoffrey Keynes, Robert McWhirter, George Crile Jr., Cushman Haagensen, Dahl-Iversen, Jerome Urban, David Patey, Bernard Fisher and Umberto Veronesi, among others, who were able to create new paradigms in the History of surgical treatment of Breast Cancer, until achieving the current practice of conservative surgery (breast and axillary) with reconstruction.Keywords: Breast Cancer, Surgery, History. A História do tratamento cirúrgico do cancro da mama é bem demonstrativa de que a verdade em Medicina é circunstancial, e que o caminho a percorrer no sentido de a alcançar é árduo. Mostra, também, como ao longo dos séculos o empirismo vai dando lugar ao método científico, e como os estudos prospectivos, controlados e randomizados determinam a alteração dos conceitos e a consequente modificação das técnicas cirúrgicas. Estas vão desde os métodos bárbaros, à luz dos conceitos actuais, que, da Grécia antiga se estendem até à descoberta da anestesia – em que se destacam nomes como Henri de Mondeville, Guy de Chaulliac e Lanfranco na Idade Média, von Hilden e Ambroise Paré no Renascimento, ou H.F. Le Dran, J.L. Petit e Benjamim Bell, no tempo do Iluminismo – até às técnicas cada vez mais meticulosas e racionais, já na Idade Contemporânea, sucessivamente devidas a James Paget, Joseph Pancoast, Charles Moore, William Stewart Halsted, William e Richard Handley, Geoffrey Keynes, Robert McWhirter, George Crile Jr., Cushman Haagensen, Dahl-Iversen, Jerome Urban, David Patey, Bernard Fisher e Umberto Veronesi, entre outros que souberam criar novos paradigmas na História do Tratamento Cirúrgico do Cancro da Mama, para se chegar à prática actual de cirurgia conservadora (mamária e axilar) com reconstrução. Palavras-chave: Cancro da Mama, Cirurgia, História. * Este artigo, quase exclusivamente de divulgação, é adaptado de uma palestra proferida nas 2as Jornadas Internacionais de Cirurgia (Faculdade de Ciências Médicas da U.N. de Lisboa – 24 de Janeiro de 2044) a convite do Prof. Pereira Alves e do Dr. Jorge Penedo (Serviço 6 do Hospital de Sto António dos Capuchos). Sociedade Portuguesa de Cirurgia2014-01-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spcir.com/index.php/spcir/article/view/340Revista Portuguesa de Cirurgia; No 27 (2013): Dezembro 2013 - II Série; 41-58Revista Portuguesa de Cirurgia; No 27 (2013): Dezembro 2013 - II Série; 41-582183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spcir.com/index.php/spcir/article/view/340https://revista.spcir.com/index.php/spcir/article/view/340/334Copyright (c) 2016 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessMora, Luiz Damas2024-03-14T22:05:19Zoai:revista.spcir.com:article/340Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:52.679440Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv History of Surgical Treatment of Breast Cancer – Empiricism and Science
História do Tratamento Cirúrgico do Cancro da Mama* – Empirismo e Ciência
title History of Surgical Treatment of Breast Cancer – Empiricism and Science
spellingShingle History of Surgical Treatment of Breast Cancer – Empiricism and Science
Mora, Luiz Damas
title_short History of Surgical Treatment of Breast Cancer – Empiricism and Science
title_full History of Surgical Treatment of Breast Cancer – Empiricism and Science
title_fullStr History of Surgical Treatment of Breast Cancer – Empiricism and Science
title_full_unstemmed History of Surgical Treatment of Breast Cancer – Empiricism and Science
title_sort History of Surgical Treatment of Breast Cancer – Empiricism and Science
author Mora, Luiz Damas
author_facet Mora, Luiz Damas
author_role author
dc.contributor.author.fl_str_mv Mora, Luiz Damas
description The history of the surgical treatment of breast cancer is very demonstrative of how the truth in medicine is circumstantial and that the way to go towards achieving it is hard. It also shows how over the centuries empiricism gives way to the scientific method, and how prospective, controlled, randomized studies determine the change of the concepts and the consequent modification of surgical techniques. These techniques range from the barbarian ,in the current concepts, methods from the ancient Greece extending bind to the discovery of anesthesia – that stand out names such as Henri de Mondeville, Guy de Chaulliac and Lanfranco, in the Middle Age, von Hilden and Ambroise Paré in the Renaissance, orH.F. Le Dran, J.L. Petit and Benjamin Bell, in the Enlightenment period – just to more and more meticulous and rational surgical techniques in Contemporary Age dues successively to James Paget, Charles Moore, William Stewart Halsted, William and Richard Handley, Geoffrey Keynes, Robert McWhirter, George Crile Jr., Cushman Haagensen, Dahl-Iversen, Jerome Urban, David Patey, Bernard Fisher and Umberto Veronesi, among others, who were able to create new paradigms in the History of surgical treatment of Breast Cancer, until achieving the current practice of conservative surgery (breast and axillary) with reconstruction.Keywords: Breast Cancer, Surgery, History. 
publishDate 2014
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https://revista.spcir.com/index.php/spcir/article/view/340/334
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publisher.none.fl_str_mv Sociedade Portuguesa de Cirurgia
dc.source.none.fl_str_mv Revista Portuguesa de Cirurgia; No 27 (2013): Dezembro 2013 - II Série; 41-58
Revista Portuguesa de Cirurgia; No 27 (2013): Dezembro 2013 - II Série; 41-58
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