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March 1968

Treatment of Skin Cancer.

Arch Intern Med. 1968;121(3):304. doi:10.1001/archinte.1968.03640030096028

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This slim hard-cover volume admirably summarizes orthodox modern dermatological thinking about the causes, recognition, diagnosis, prevention, and management of cancer of the skin, particularly basal cell and squamous cell carcinomas and keratoacanthomas. The authors' own experience with 2,723 carcinomas over a five-year period is analyzed in sufficient detail to demonstrate the effectiveness of treatment in their hands. Surgical excision, curettement and electrodesiccation, and radiation therapy are explained in detail: their special indications, drawbacks, hazards, and respective advantages.

The book is sufficiently current to look forward to commercially available sunscreens containing benzophenones, first marketed in 1966. Dillaha's work with fluorouracil for actinic keratoses is mentioned, but the use of the 5% ointment preparation, or the 1% solution in propylene glycol, is barely mentioned, without details, in the section dealing with management of actinic (senile) keratoses.

The presentation of the simple, effective, tissue-sparing technique of curettage, illustrated by clear photographs of each

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