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Article
July 31, 1926

THE DANGER OF INCOMPLETE REMOVAL OF SMALL AND APPARENTLY INNOCENT LESIONS

JAMA. 1926;87(5):344-345. doi:10.1001/jama.1926.02680050054032

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Abstract

To the Editor:  —I wish to call attention to a life-saving and fundamental fact in the treatment of small tumors. Now that many persons are receiving correct information and are reporting for examination at once, or very quickly, after they feel the little tumor or mass, there is danger that this apparently innocent neoplasm may be incompletely removed by "shelling out," or enucleating or by removing by blunt dissection, or by cutting the tissue with the knife too closely to the capsule or border of the tumor.A patient wanted a wen in the scalp removed. It was about 2 cm. in diameter and had been present many years. There had been no evidence of recent growth; there had been no pain or tenderness. It has always been my rule to remove all such tumors completely, so that if the microscopic examination showed malignancy, it would be unnecessary to remove

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