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Article
November 18, 1916

THE TREATMENT OF MALIGNANT DISEASE ABOUT THE MOUTH BY COMBINED METHODS

Author Affiliations

PHILADELPHIA

JAMA. 1916;LXVII(21):1502-1508. doi:10.1001/jama.1916.02590210020008
Abstract

I should like to refer to the recent review of 556 articles on tumors of the mouth by Blair,1 and then confine my remarks to treatment.

As prophylactic measures, we, as physicians, should give close attention to the mouths of our patients. Their jagged teeth should be removed or treated. Pyorrhea ulcers should receive proper treatment. Leukoplakia demands cessation of smoking and the elimination of syphilis, and if the lesion then existing does not disappear, or develops fissures or thickening, I believe it should be thoroughly destroyed by electrothermic coagulation. Smoker's stomatitis, of course, demands cessation of smoking. An ulcer which develops in the mouth of a patient who has a positive Wassermann test should show distinct evidence of healing within a few weeks after active antisyphilitic treatment has been given, or should be regarded as highly suspicious of malignant disease, and treated accordingly. The patient should not be

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