Small tumors as risk factors not disease

Research output: Contribution to journalArticle

5 Scopus citations


I argue that ductal carcinoma in situ (DCIS), the tumor most commonly diagnosed by breast mammography, cannot be confidently classified as cancer, that is, as pathological. This is because there may not be dysfunction present in DCIS—as I argue based on its high prevalence and the small amount of risk it conveys—and thus DCIS may not count as a disease by dysfunction-requiring approaches, such as Boorse’s biostatistical theory and Wakefield’s harmful dysfunction account. Patients should decide about treatment for DCIS based on the risks it poses and the risks and benefits of treatment, not on its disease status.

Original languageEnglish (US)
Pages (from-to)986-998
Number of pages13
JournalPhilosophy of Science
Issue number5
StatePublished - Jan 1 2014

ASJC Scopus subject areas

  • History
  • Philosophy
  • History and Philosophy of Science

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