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December 9, 1961

Cancer of the Nasopharynx: Its Natural History and Treatment

JAMA. 1961;178(10):1054. doi:10.1001/jama.1961.03040490080033

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This small monograph, on an important subject, is concise and is characterized by a total lack of discursiveness. It is a careful and honest report of a personal experience with a deadly clinical class of neoplasms. Its limitations on this basis are admitted frankly. Its advantages are only suggested.

The racial distributions of this class of lesions reveals the astonishing fact that the Asiatic Chinese and the Mediterranean Maltese, with no geographic, ethnic, or environmental connections, have the highest frequency incidence of this disease.

Lederman holds the treatment of these lesions to be primarily and almost totally radiotherapeutic. The necessity for cooperation between the otolaryngologist, the ophthalmologist, the neurologist, the internist, and the radiologist is stressed so that all phases of the disease may be controlled, that nutrition may be maintained, and that prophylaxis against infection and radiogenic destruction of teeth and other vital structures may be carried forward.

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