Revolution to Reticence, Halsted and The History of Mastectomy
Bibliographic record
Abstract
The mastectomy techniques used to treat breast cancer patients today are a product of thousands of years of discovery. Early mentions of breast excision and cauterization can be found in Ancient Egyptian and Indian texts dating back to 3000 B.C. Formally developed by Halsted in 1894, the radical mastectomy marked an important innovation in breast cancer therapy. Employment of the technique nearly doubled the patient survival rate. Since Halsted’s time, the uses for this technique have also changed. Less invasive surgeries such as lumpectomies are often preferred by patients, with radical mastectomy surgeries now commonly used for prophylaxis. This article explores the significance of Halsted’s innovation, while providing contextual evidence that examines the noteworthy events that both precede and follow it. It also examines how Halsted’s innovation rose and later fell from public favour.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.010 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.006 | 0.039 |
| Scholarly communication | 0.004 | 0.004 |
| Open science | 0.000 | 0.003 |
| Research integrity | 0.003 | 0.007 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".