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April 1967

Extensive Cancer of the LipSurgical Therapy

Author Affiliations

From the University of Texas M. D. Anderson Hospital and Tumor Institute, Houston.

Arch Surg. 1967;94(4):509-516. doi:10.1001/archsurg.1967.01330100073012

PHYSICIANS who observe patients with large cancers of the lip dislike undertaking extensive resections because of the cosmetic deformity and the somewhat elaborate plastic procedures necessary to correct the disfigurement. As a consequence, many such patients are referred to the radiotherapist. For some of these patients, however, surgical treatment is superior to irradiation. In this paper, it is the author's purpose to point out the type of patient for whom each of these modalities is suitable.

During the ten-year period of 1952 through 1961, over 1,000 patients were referred to the M. D. Anderson Hospital following a clinical diagnosis of cancer of the lip.1 Of this group, 771 patients were found by histological examination to have cancer, and of these, 444 were treated for the first time, while 251 had been treated previously. The remaining 76 patients were not treated, either because the disease was too far advanced (19

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