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Article
October 1938

INDICATIONS FOR DIFFERENT TYPES OF TREATMENT OF MALIGNANT DISEASE OF THE LARYNX

Arch Otolaryngol. 1938;28(4):585-588. doi:10.1001/archotol.1938.00650040596008
Abstract

Evaluation of the indications for any specific measure in the treatment of cancer of the larynx, whether involving surgical intervention or irradiation, may be arrived at by consideration of the following diagnostic postulates. Under the circumstances, generalities are necessary, but each case must be considered individually.

DIAGNOSTIC CONSIDERATIONS  Individual History.—The history of the patient, including his occupational and particularly his laryngeal history, the degree of abuse of the voice, laryngeal lesions, such as papilloma, chronic laryngitis, alcoholism, excessive use of tobacco, dental decay and poor oral hygiene are to be considered from a local standpoint. General diseases, such as tuberculosis and syphilis, should be considered not only for differentiation but as possible accompanying diseases. A family history of parents or near relatives having had cancer, in my experience, should not be considered too seriously as evidence that a given lesion is malignant. However, as the cause of canncer remains unsolved,

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