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To the Editor.—Your special article, "Surgery in Ovarian Cancer," stressed the point that "operation itself contributed nothing to the survival, unless it reduced the residual mass to less than 1.6 cm in diameter."
For those of us who believe that radiotherapy and chemotherapy may contribute to the survival of patients with ovarian cancer, there is another part of the surgical procedure that may help. When the surgeon has to leave residual tumor, it is important to the radiotherapist that the tumor location and size be marked by placement of metallic clips. Then, the high-dose, potentially more effective, limited beam of radiation can be directed so as to spare some normal tissues.
SIMON N. Surgery in Ovarian Cancer-Reply. Arch Surg. 1981;116(2):252. doi:10.1001/archsurg.1981.01380140096030