The head and neck oncologists seem to be facing a complication with their success. As specialists in the field, we have increased the effectiveness of treatment as well as reached a laudable figure of 85% to 90% of patients who are rendered free of cancer above the clavicle. We must now conquer at a different front. The biology of the tumor, its interaction with the host, and the still unresolved secrets of carcinogenesis need to be addressed and solved. These facts are not new.
See also p 564.
In this issue of the Archives, Vikram1 demonstrates again that combined surgery and postoperative irradiation yield a better regional and local tumor eradication than surgery applied by itself. The point is proved through the comparison of present therapy results with those achieved in historic controls. Purists may argue that many changes took place during the last 20 years covered by this
GOEPFERT H. Are We Making Any Progress? Arch Otolaryngol. 1984;110(9):562–563. doi:10.1001/archotol.1984.00800350004002
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