Ian Smith
speaker
2,477 appearances
19 recordings
11 series
first heard Aug 2024
last heard 15 Sep
Ian Smith’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 17 in all, peaking in Aug 2026 with 6.
Appearances
more than sixty percent died, but now it's less than thirty percent.
It's one of the dramatic stories in the whole of medicine.
When I began, more than sixty percent of patients died of breast cancer, the majority.
But now it's less than thirty percent.
It's one of the dramatic stories in the whole of medicine, I think.
The main reason is that what we didn't realise was that little microscopic cancer cells are
develop very early on in breast cancer and by the time the patient comes to the hospital with a lump
These microscopic cancer cells have often spread so it doesn't matter how skillful the surgeon is, it's too late.
And once we realized that and started giving medical treatment after surgery to kill these cells off, this is what we call adjuvant medical therapy.
That was the biggest transformation.
Screening in breast cancer is very controversial.
It's never convincingly been shown in my view to save lives.
The improvement in survival is just as high in younger women.
who were never screened.
As in older women.
Early detection is very important.
If a woman finds a lump.
now have the technology to see what the specific gene mutations are in a cancer.
You can design a drug to target the mutation and switch it off.
So we're now in an era of targeted therapy.
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