This book examines the spectacular progress that has been made in cancer research during the last 80 years, describing the way discoveries have been made and asking questions about accountability, decision making, and the contribution of past achievement to policymaking. The focus is on the experience of the Imperial Cancer Research Fund, one of the leading international research centers and one of Britain's major medical charities. The author takes a broad perspective and provides a comparative framework by discussing the changing relationship between the ICRF and the medical profession, government, and other charities, notably the Cancer Research Campaign. The resulting analysis of intellectual developments and scientific polices involves a unique overview of malignant disease management, therapeutic and preventative strategies, and the evolution of cancer services in Britain.