My purpose in this paper is to present rather briefly what appears to be the best treatment for metastases to the neck from carcinoma of the lip.
Results obtained by the irradiation of cervical metastases have been reported by Schreiner and Mattick,1 Schreiner and Simpson,2 Dund and Holton3 and others. The diagnosis of cervical metastases in these cases was made clinically. The question always arises in one's mind as to how many of these patients would have had microscopically negative glands. This number would probably vary widely in different series. Bloodgood4 has stated that he found the clinical diagnosis of metastasis proved wrong much more frequently than the reverse.
Results obtained by surgical intervention have been reported by Fischel,5 Wangensteen and Randall,6 Eggers7 and Kennedy.8 Glands removed were examined microscopically. It is difficult, however, to classify and compare cases clinically. Different conceptions are
MORELAND RB. THE TREATMENT OF METASTATIC CARCINOMA OF THE NECK: SECONDARY TO CARCINOMA OF THE LIP. JAMA. 1938;110(14):1084–1087. doi:10.1001/jama.1938.02790140016004
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