Changing concepts of the nature of cancer are altering the role of the surgeon in its management and are increasing his responsibility with reference to the longrange care of the patient. The surgeon, if he is interested in the management of cancer (and if he is not, he should not attempt the mere amputation of an organ) is the key person in the management of the disease. The days of carrying out "routine operation" have gone. There can be no "routine operation" because of the complex nature of the disease and the fact that a human being as well as a neoplastic process is involved. Dunphy1 stated that even finally when the course of the patient is clearly downhill, the surgeon has a duty to remain in the picture to integrate the efforts of all concerned with the management of the patient. To be abandoned is worse than to
DEVINE KD. Tumors of the Nose and Throat: Summaries of the Bibliographic Material Available for the Years 1953 to 1956. AMA Arch Otolaryngol. 1958;67(6):716–761. doi:10.1001/archotol.1958.00730010732010
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