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April 2, 1955

Surgical Treatment of Cancer of the Cervix

JAMA. 1955;157(14):1261-1262. doi:10.1001/jama.1955.02950310087024

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The first three chapters of this book discuss the anatomy, blood vessels, lymph nodes, and channels of the pelvis, and the sympathetic and parasympathetic nerves of the ureters and bladder. An accurate and extensive knowledge of this anatomy and particularly the cleavage planes is of primary importance in obtaining the best surgical results. The evaluation of radiation versus operation in treatment of cancer of the cervix has been made in a lucid and concise manner. The author believes that the two methods should be used, but that the individual circumstances should decide the choice of treatment. He is not in favor of combining the two types of therapy. As an openminded clinician he discusses the unknown factors of the lymph system and the questionable results of removal of the nodes. The pros and cons of evisceration procedures are squarely faced and evaluated. Dr. Meigs states that one of the objectives

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