Less Radical podcast: The origins of modern surgery, radical mastectomy, and the first randomized trials in breast cancer

Share on facebook
Share on twitter
Share on linkedin
Share on email
Share on print

Less Radical tells the story of surgeon-scientist Bernie Fisher, who revolutionized breast cancer treatment and transformed the way we understand cancer. 

He was a scrappy young  surgeon—a Jewish kid from Pittsburgh who had to make it past antisemitic quotas to get into med school. 

And the thanks he received for his discoveries? 

A performative, misguided Congressional investigation that destroyed his reputation and haunted him until his death.

Stacy Wentworth

In the first episode, Less Radical host and producer Stacy Wentworth introduces Fisher and his unlikely run-in with the outspoken First Lady Betty Ford in the midst of her breast cancer treatment. 

But that fall weekend in Sept. 1974 helped to alter America’s attitude toward breast cancer, which had previously only been spoken about in hushed tones.  

Episodes two and three cover the origins of modern surgery, the man who developed the Halsted radical mastectomy, and Fisher’s takeaways from the wreckage of the first randomized clinical trial in patients with breast cancer.

At the end of the 19th century, a New York surgeon determined that the only way to cure breast cancer was with radical surgery. For the next hundred years, millions of breast cancer survivors bore the mark of his disfiguring approach.

Episode 2: The Knife is the Cure
Less Radical, Oct. 2, 2024

In 1958, Bernie Fisher participated in the first randomized clinical trial in patients with breast cancer. The trial was a disaster, leading most surgeons to abandon chemotherapy. Bernie, however, noticed something different in the data, which leads him on a path that will change the course of cancer treatment forever.

Episode 3: Microbe Hunters and Magic Bullets
Less Radical, Oct. 11, 2024 

All three published episodes—plus a bonus episode—are now available on the Cancer History Project

Over a total of six episodes, Wentworth takes listeners into operating rooms, through the halls of Congress, and into the labs where breakthrough cancer treatments were not only developed, but discovered.

Wentworth is a clinical associate in the Department of Radiation Oncology at Duke University School of Medicine, author, and founder of the substack Cancer Culture.


This column features the latest posts to the Cancer History Project by our growing list of contributors

The Cancer History Project is a free, web-based, collaborative resource intended to mark the 50th anniversary of the National Cancer Act and designed to continue in perpetuity. The objective is to assemble a robust collection of historical documents and make them freely available.  

Access to the Cancer History Project is open to the public at CancerHistoryProject.com. You can also follow us on Twitter at @CancerHistProj, or follow our podcast.

Is your institution a contributor to the Cancer History Project? Eligible institutions include cancer centers, advocacy groups, professional societies, pharmaceutical companies, and key organizations in oncology. 

To apply to become a contributor, please contact admin@cancerhistoryproject.com.

Table of Contents

YOU MAY BE INTERESTED IN

In a phase II clinical trial, a research team led by Nilofer Azad, professor of oncology and co-leader of the Kimmel Cancer Center’s Cancer Genetics and Epigenetics Program, and Marina Baretti, the Jiasheng Chair in Hepato-Biliary Cancer at the Kimmel Cancer Center, tested the safety and efficacy of the combination of two drugs: an immunotherapy, nivolumab, and an epigenetic drug, entinostat—a histone deacetylase inhibitor. 
A group of investigators led by Cedars-Sinai have developed and successfully tested a new artificial intelligence method to make launching cancer clinical trials easier and faster. The method uses patients’ pathology reports to automate the classification of patients by the severity of their cancers, potentially shortening the process of selecting candidates for clinical trials.
FDA recently approved Alternative Standard #25 related to the Mammography Quality Standards Act. Alternative Standard #25 allows the interpreting physician to provide an assessment of “Incomplete: Need additional imaging evaluation” for the follow-up report issued within 30 calendar days of an initial report that received an assessment of “Incomplete: Need prior mammograms for comparison.”

Never miss an issue!

Get alerts for our award-winning coverage in your inbox.

Login