Preventive Strikes: Women, Precancer, and Prophylactic Surgery

Winner, 2011 Best Book in the History of Medicine, European Association for the History of Medicine and Health

Modern scientific tools can identify a genetic predisposition to cancer before any disease is detectable. Some women will never develop breast or ovarian cancer, but they nevertheless must decide, as a result of genetic testing, whether to have their breasts and ovaries removed to avoid the possibility of disease. The striking contrast between the sophistication of diagnosis and the crudeness of preventive surgery forms the basis of historian Ilana Löwy’s important study.

Löwy traces the history of prophylactic amputations through a century of preventive treatment and back to a long tradition of surgical management of gynecological problems. In the early twentieth century, surgeons came to believe that removing precancerous lesions—a term difficult to define even today—averted the danger of malignancy. This practice, Löwy finds, later led to surgical interventions for women with a hereditary predisposition to cancer but no detectable disease.

Richly detailed stories of patients and surgeons in the United States, France, and the United Kingdom allow Löwy to compare the evolution of medical thought and practice—and personal choice—in these different cultures.

Preventive Strikes aims to improve our understanding of professional, social, and cultural responses to cancer in the twenty-first century and to inform our reflections about how values are incorporated into routine medical practices.Ilana Löwy

1147794297
Preventive Strikes: Women, Precancer, and Prophylactic Surgery

Winner, 2011 Best Book in the History of Medicine, European Association for the History of Medicine and Health

Modern scientific tools can identify a genetic predisposition to cancer before any disease is detectable. Some women will never develop breast or ovarian cancer, but they nevertheless must decide, as a result of genetic testing, whether to have their breasts and ovaries removed to avoid the possibility of disease. The striking contrast between the sophistication of diagnosis and the crudeness of preventive surgery forms the basis of historian Ilana Löwy’s important study.

Löwy traces the history of prophylactic amputations through a century of preventive treatment and back to a long tradition of surgical management of gynecological problems. In the early twentieth century, surgeons came to believe that removing precancerous lesions—a term difficult to define even today—averted the danger of malignancy. This practice, Löwy finds, later led to surgical interventions for women with a hereditary predisposition to cancer but no detectable disease.

Richly detailed stories of patients and surgeons in the United States, France, and the United Kingdom allow Löwy to compare the evolution of medical thought and practice—and personal choice—in these different cultures.

Preventive Strikes aims to improve our understanding of professional, social, and cultural responses to cancer in the twenty-first century and to inform our reflections about how values are incorporated into routine medical practices.Ilana Löwy

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Preventive Strikes: Women, Precancer, and Prophylactic Surgery

Preventive Strikes: Women, Precancer, and Prophylactic Surgery

by Ilana Zelmanowicz
Preventive Strikes: Women, Precancer, and Prophylactic Surgery

Preventive Strikes: Women, Precancer, and Prophylactic Surgery

by Ilana Zelmanowicz

eBook

$57.00 

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Overview

Winner, 2011 Best Book in the History of Medicine, European Association for the History of Medicine and Health

Modern scientific tools can identify a genetic predisposition to cancer before any disease is detectable. Some women will never develop breast or ovarian cancer, but they nevertheless must decide, as a result of genetic testing, whether to have their breasts and ovaries removed to avoid the possibility of disease. The striking contrast between the sophistication of diagnosis and the crudeness of preventive surgery forms the basis of historian Ilana Löwy’s important study.

Löwy traces the history of prophylactic amputations through a century of preventive treatment and back to a long tradition of surgical management of gynecological problems. In the early twentieth century, surgeons came to believe that removing precancerous lesions—a term difficult to define even today—averted the danger of malignancy. This practice, Löwy finds, later led to surgical interventions for women with a hereditary predisposition to cancer but no detectable disease.

Richly detailed stories of patients and surgeons in the United States, France, and the United Kingdom allow Löwy to compare the evolution of medical thought and practice—and personal choice—in these different cultures.

Preventive Strikes aims to improve our understanding of professional, social, and cultural responses to cancer in the twenty-first century and to inform our reflections about how values are incorporated into routine medical practices.Ilana Löwy


Product Details

ISBN-13: 9780801898693
Publisher: Johns Hopkins University Press
Publication date: 01/18/2010
Sold by: Barnes & Noble
Format: eBook
Pages: 344
File size: 3 MB
Age Range: 18 Years

About the Author

Ilana Löwy is a senior researcher at the French National Institute of Health and Medical Science.


Ilana Löwy (PARIS, FRANCE) is emerita senior research fellow at the French National Institute of Health and Medical Research. She is the author of Imperfect Pregnancies: A History of Birth Defects and Prenatal Diagnosis.

Table of Contents

Acknowledgments
Introduction: Embodied Risk
1. Biopsy
2. Classifications
3. Borderline Lesions
4. In Situ Cancers
5. The Origins of Screening
6. The Generalization of Screening
7. Heredity
8. The New Surgical Radicalism
Conclusion: Uncertainty
Notes
Index

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