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July 1959

Results of Treatment of Squamous-Cell Carcinoma Arising in Mandibular Gingiva

Author Affiliations

Rochester, Minn.
Section of Plastic Surgery (Dr. Erich); Fellow in Plastic Surgery, Mayo Foundation (Dr. Kragh), Mayo Clinic and Mayo Foundation. The Mayo Foundation, Rochester, Minn., is a part of the Graduate School of the University of Minnesota.

AMA Arch Surg. 1959;79(1):100-105. doi:10.1001/archsurg.1959.04320070104017

In other communications,1,2 we have briefly reviewed the progress of treatment of squamous-cell carcinoma of the anterior portion of the tongue and the floor of the mouth. The treatment of carcinoma of the mandibular gingiva, like that of the two types just mentioned, has passed through many different phases. Prior to this century, the occasional open surgical resection of such lesions was truly a major undertaking. As methods of electrosurgery and irradiation improved, the majority of such lesions were treated by these techniques, and the immediate mortality rate was reduced considerably. However, it became apparent that patients who had malignant invasion of the mandible were cured only occasionally by irradiation. Also, irradiation was found to be unsatisfactory as a treatment of metastatic tumors in the cervical lymph nodes. Thus, the primary lesion usually was treated by irradiation or electrocoagulation, and the cervical metastatic lesions were treated by surgical removal,

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