—As mentioned in our article, the exact dose and dose fractions were not known on the majority of patients as these treatments were not administered at our institute. The objective of this study was to evaluate the natural history of breast cancer in patients with prior radiation exposure. The question about ionizing radiation resulting in an increased incidence of breast cancer during the developmental phase has been previously addressed by number of publications, and that was not the objective of our study. The article did not contain any statement trying to induce fear of ionizing radiation. The only suggestion that was made was that patients with a history of ionizing radiation should be followed up closely to detect the disease in its earlier stage. I do not believe that was a disservice to the public.
The comments of Forman et al are valid in that the article did not