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June 30, 1956


JAMA. 1956;161(9):902. doi:10.1001/jama.1956.02970090128028

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To the Editor:—  In reference to the recent article by J. Chandler Smith, "Superiority of Surgical Treatment of Endometrial Carcinoma," that appeared in the April 28, 1956, issue of The Journal, page 1460, I make the following statements. In the six cases that Dr. Smith discusses, he quotes the irradiation dosage for both external irradiation and radium administration without qualifying as to calculated tumor dose or methods of distribution. A common misconception is that milligram-hours expresses irradiation-tumor-dose and that totals of various ports of irradiation by external means indicate the efficacy to which x-ray treatment has been administered. In many treatment centers, where there is adequate liaison between the surgical, pathological, and radiology departments, the treatment of endometrial carcinoma is managed on an individual basis. Each case must be considered separately and the decision as to single or combined methods made on the merits of the case. There need be

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