Department of Community Medicine, Travel and Migration Unit, University of Geneva, 1211 Geneva, Switzerland
E-mail: ism-ne{at}bluewin.ch
Dr Strauss and Dr Marzo-Ortega (October 2002 JRSM1), discussing the work of Michelangelo (1475-1584) in relation to medicine, refer to a suggestion2 that the left breast in the sculpture Notte has features of locally advanced breast cancer.2 Michelangelo's contemporary Raphael Sanzio (1483-1520) is thought to be the first to have depicted an advanced stage of breast cancer in the painting La Fornaria.3 Breast cancer has probably been prevalent since antiquity, but the search for historical evidence is difficult for lack of verifiable descriptions or graphic representations of the disease.4,5 In the chapter on pre-Hippocratic medicine in Meyer-Steineg's Geschichte der Medizin I found an illustration showing a female torso (Figure 1) with contracted cancer in the left breast.6 The torso dates from 2nd to 1st century BC and was found in Izmir, Turkey. A plaster cast of the original terracotta torso is in the collections of the Institute for Medical History at the Friedrich-Schiller University in Jena, Germany.7 This torso is perhaps not in the same artistic league as the work of Michelangelo, but it may well be the earliest historical evidence of breast cancer.
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