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Article
November 7, 1925

GLANDULAR BLOCK DISSECTIONS FOR METASTATIC CANCER: REPORT OF ONE HUNDRED AND SIXTY CASES DONE EXCLUSIVELY WITH THE CAUTERY

Author Affiliations

TEMPLE, TEXAS

JAMA. 1925;85(19):1447-1452. doi:10.1001/jama.1925.02670190007002
Abstract

It is my purpose, not to review the history of cancer or of the cautery, but first to point out that surgery or surgical technic has not reached its maximum efficiency in the treatment of cancer and later to show that the cautery as a therapeutic agent has undreamed of possibilities.

Until the cause of cancer is positively known, no one will be justified in believing that surgery will be of any real value beyond certain local and regional limitations.

According to Crile's1 investigation of 4,500 necropsies on subjects who had had cancer of the head, face and neck, in which 99 per cent, had no metastasis below the base of the neck, one must conclude that the fatal results of those dying from cancer in this group were attributable to extension of the original growth by local infiltration of important tissues adjacent to it and to neck metastasis

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