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    The Emperor of All Maladies

    Page 73
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      statistics:

      negative claims in, 197–98

      normalization in, 230–31; see also age-adjusting

      staurosporine, 432

      Stehelin, Dominique, 361

      Stein, Gertrude, 227

      stem cells, 398, 458

      sterility, as side effect of chemotherapy, 165

      Sternberg, Carl, 157

      steroids, 103

      stomach cancer, 44–45, 381, 456

      neurotic stress blamed for, 281

      Strax, Philip, 294–95, 296, 297, 299

      streptomycin, 22, 131–32

      stroke, 444

      Study in Scarlet, A (Doyle), 9

      SU11248, 468

      Subbarao, Yellapragada “Yella,” 30–31, 33, 34, 35, 87, 91

      sulfa drugs, 110

      Sun Tzu, 210

      Supreme Court, U.S., 266

      surgeon general, U.S., 259–60

      smoking-health report of, 260–62, 264, 267, 401

      surgeons:

      as hostile to chemotherapy, 219–21

      self-confidence of, 66, 308

      surgery, 355, 405

      abdominal, 58

      for breast cancer, 58, 62, 195–96, 197, 201, 402; see also mastectomies

      evolution of, 55, 61–62, 66

      infection as risk of, 56–57

      local, combined with radiation therapy, 195–96, 197, 464

      for lung cancer, 59, 72, 256

      as performance, 66

      radical, see mastectomies, radical; radical surgery

      removal of tumors through, 41, 49–50, 55, 58–59

      survival rates, bias in, 229–30

      SV 40, 349n

      Sweden:

      ABMT trial in, 326

      mammography trials in, 298, 300–301

      Swinburne, Algernon Charles, 461

      Sylvester, Robert, 34

      Symington, Stuart, 186

      syphilis, 86, 157, 238

      Tabin, Cliff, 383

      Taft, William Howard, 24–25

      Talman, William, 266–67

      Talpaz, Moshe, 436, 437, 438, 441, 442

      tamoxifen, 216–17, 218, 221–22, 407, 456, 457, 464, 466

      Tarceva, 455

      targeted therapies, 405–11, 412, 443, 455

      for APL, 407–10

      for breast cancer, 413–22, 454, 464, 465

      for, CML, 430–40, 441–43

      Tatum, Edward, 345

      Taxol, 206, 403–4, 427–28

      technology, 466

      medicine as, 462

      television, see broadcast media

      Temecula, Calif., 321–22, 324

      Temin, Howard, 350–55, 357–58, 359, 361–62, 371, 372

      Tenth International Cancer Congress, 353–54

      teratoma, 152

      Terry, Luther, 259–60, 262–63

      testicular cancer, 181, 204–5, 208, 228, 331, 401

      testosterone, 212–13, 214, 215

      tetracycline, 22

      thalidomide, 199, 443

      thioguanine, 127

      Thomas, E. Donnall, 309, 434

      Thomas, Lewis, 430

      Thomas Aquinas, Saint, 393

      Thoreau, Henry David, 38

      Through the Looking-Glass (Carroll), 441, 443

      thymoma, 152

      thyroid cancer, 152, 212

      thyroid hormone, 212

      Time, 22, 24, 25, 103, 178

      tobacco:

      bacterial mutations caused by, 278

      British addiction to, 240

      oral cancers linked to, 239–40

      U.S. production of, 240

      see also cigarettes; nicotine; smoking; tobacco industry

      tobacco-cancer link, 276, 290, 364, 388

      antitobacco campaigns and, 401, 446

      author’s encounters with, 274–75

      causality dispute in, 253–56

      Doll/Hill studies and, 245–49, 250–51, 253–54, 260, 262, 263, 276, 294, 350, 401, 455

      J. Hill’s pamphlet on, 239–40, 276

      lag time in, 272

      as obscured by prevalence of smoking, 241–42

      public policy and, 257, 259–62

      secondhand smoke and, 260

      surgeon general’s report on, 260–62, 264, 267, 401

      tobacco industry and, 250–53, 258, 259, 260, 264

      Wynder/Graham study and, 244–45, 246–47, 252, 253–55, 256, 260, 263, 401

      tobacco industry:

      advertising by, 250–51, 263–64, 265–67, 268, 273

      developing countries targeted by, 273–74

      government regulation of, 262–65, 273

      Master Settlement Agreement and, 273

      political power of, 259, 260, 264, 273

      product-liability lawsuits against, 269–73, 401

      public relations campaigns by, 250–53, 258, 266

      women targeted by, 268

      Tobacco Industry Research Committee (TIRC), 253, 264

      Tobacco Research Institute, 270

      tobacco tokens, 246

      Tocqueville, Alexis de, 107–8

      Todaro, George, 358n

      tongue cancer, 274

      total therapy (chemotherapy plus radiation), 123–24, 154, 168–70

      toxicity, of chemotherapy, 43–44, 168, 208, 305, 309, 320

      traits, heritability of, 343–44, 364, 366

      transfusions, 196, 280

      transgenic mice, 382–83, 384

      trans-retinoic acid, 408–10

      Trastuzumab, see Herceptin

      Traut, Herbert, 288

      Treponema pallidum, 86

      Tripathy, Debu, 424

      True cigarettes, 269

      Truman, Harry, 117, 120

      Truth or Consequences, 97–99

      Trypanosoma gondii, 85

      Trypan Red, 85

      tuberculosis, 24, 41, 72, 84, 87, 157, 175, 256

      in ancient world, 44

      as iconic 19th century disease, 37–38, 45

      mortality rates from, 229

      naming of, 47

      public hygiene and, 22

      streptomycin and, 131–32

      tumors, 16, 19

      angiogenesis of, 387, 388, 389, 391, 407, 443, 458

      Baillie’s descriptions of, 53–54

      bone, 43

      brain, 71–72

      chemotherapy for, 122–23, 154, 207, 308–9

      in Galenic theory, 48–49

      malignant vs. benign, 47, 56

      metastasis of, 55, 67, 135, 136, 154, 195–96, 302–3, 389

      premetastatic, 302–3

      radiation therapy for, 76, 77, 154, 158–59

      stages of, 55, 67, 160–61, 218

      surgical removal of, 41, 49–50, 55, 58–59

      see also specific cancers

      tumor suppressor genes, 368–69, 376, 380, 381, 384, 385, 402, 412, 450, 453

      inactivation of, 386–87, 389, 391, 406, 407

      Turner, Charlotte, 325

      two-hit hypothesis, 367–69, 376, 377, 380

      typhoid fever, 22, 24

      typhus, 41, 46

      Uganda, 204n

      Ullrich, Axel, 414–18, 420, 427, 433

      umbilical blood, 398–99

      Undark, 77

      United Kingdom, see Great Britain

      uranium, 74

      Urban, Jerome, 193, 198

      urea, 83, 84

      urological cancers, 71

      U.S. Radium, 77–78

      uterine cancer, 59, 277, 306, 331

      Uzbekistan, cigarette consumption in, 274

      vaginal cancer, 277

      VAMP regimen, 142, 143–50, 165, 310

      consortium opposition to, 144

      relapses and, 166

      remissions and, 145–46

      survivors of, 148–50

      Zubrod’s opposition to, 143

      Variety Club of New England, 95, 172

      Varmus, Harold, 360–63, 364, 365, 369, 370, 371, 375, 380, 439

      vectors, for infectious diseases, 245

      Velcade (bortezomib), 443

    &nbs
    p; Venet, Louis, 294–95, 296

      Verghese, Abraham, 308

      Veronesi, Umberto, 220

      Vesalius, Andreas, 51–53, 54, 59, 211, 434, 455

      Vietnam War, 187, 207

      vinblastine, 205

      vincristine (Oncovin), 127, 139–40, 143, 149, 162, 164, 406

      see also VAMP regimen

      Virchow, Rudolf, 13–16, 18, 237, 340, 430, 431, 455

      Virginia, tobacco production in, 240

      Virginia Slims cigarettes, 267, 268–69

      virology, virologists, 349–56, 357–62, 364, 371, 466

      viruses:

      as carcinogens, 173, 174–76, 278–81, 303, 342–43, 349–50, 351–56, 362

      RNA forms of, see retroviruses

      Visco, Frances, 426, 427, 429

      vitalism, 83

      vitamin B12, 28, 31

      Vogelstein, Bert, 384–86, 448

      Cancer Genome Atlas and, 450–54

      Vogt, Peter, 358

      Volberding, Paul, 317, 424

      Volkmann, Richard von, 62, 64, 67

      Voltaire, 143

      von Hansemann, David Paul, 340–41, 366

      Waksman, Selman, 122

      Wall Street Journal, 181

      Walpole, Arthur, 216, 304

      Walters, Barbara, 186

      Wang, Zhen Yi, 408–1

      war gasses, 87–88, 89–90

      Warm Springs Foundation, 94

      War on Cancer, 121, 172–73, 313, 329, 330, 332, 350, 455

      Apollo space program as analogous to, 178–79

      defining success in, 461–63, 465

      Farber and, 114, 118, 122, 150, 155, 178, 180, 184, 188, 190, 234

      measuring progress in, 227, 231, 323–33

      M. Lasker and, 113–14, 117–18, 122, 155, 177–78, 179, 183–86, 188–89, 191, 234, 296, 402, 403

      Nixon and, 180–81, 184, 187–88

      Panel of Consultants in, 184, 188

      Times ad in, 180–81, 183

      Warren, Robin, 281–84, 456

      Washington Post, 32, 73, 180–81

      Watson, James, 89, 186–87, 393, 455

      Weinberg, Robert, 355, 370–76, 379–80, 390–92, 410–11, 412, 413, 443

      Weissman, George, 262

      Welch, William, 63

      Western General Hospital, 329

      white blood cells (lymphocytes), 3, 13, 17, 29, 152, 407, 409

      aminopterin and, 33–34

      chemotherapy and, 127, 315

      nitrogen mustard and, 88, 90

      in response to infection, 13, 16

      Whitehead Institute, 376–77, 379

      Wiedrich, Bob, 187

      Wigler, Michael, 374, 376

      Williams, Ted, 102

      Williams, William Carlos, 306

      Wills, Lucy, 28, 29

      Wilms’ tumor, 123–24

      Wit (Edson), 205, 209

      Witwatersrand, University of, 321, 323, 326, 327–28

      Woglom, William, 80

      Wöhler, Friedrich, 83–84

      Wolfe, Thomas, 93

      Wolff, James, 34

      Wolfler, Anton, 62

      women:

      cigarette advertising targeted to, 268

      lung cancer mortality rate in, 331

      smoking by, 268, 445

      Women’s Field Army, 111, 113

      Wood, Francis Carter, 46

      Woodard, Frank, 108

      Woodard, Sara Johnson, 108, 109–10

      Worcester Foundation, 217

      World War I:

      cigarette consumption increased by, 250

      mustard gas in, 87–88

      World War II, 26, 89, 109, 129

      cigarette consumption increased by, 250

      scientific research in, 119–20, 129–30

      Wynder, Ernst, 250

      tobacco-cancer study of, 244–45, 246–47, 252, 253–55, 256, 260, 263, 401

      X-rays, 23, 44

      as carcinogen, 77–78, 347, 349, 389

      as diagnostic tool, 291; see also mammography

      discovery of, 73–74

      DNA damaged by, 75, 77

      mutation increased by, 278, 347

      in radiation therapy, 75–76, 123–24, 127, 158–59

      Yale–New Haven Hospital, 226

      Yarborough, Ralph, 184

      yellow bile, 48, 53

      Young, Hugh Hampton, 71

      Ypres, Belgium, 88

      Ziegler, John, 207

      Zimmermann, Jürg, 433, 435

      Zubrod, Gordon, 129–30, 132, 134, 137–38, 139, 140, 147, 162, 163–64, 207, 260

      leukemia research consortium created by, 130–31, 133

      VAMP opposed by, 143

     

     

     



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