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September 1959

Observations from the Use of Quarterectomy

Author Affiliations

Memphis, Tenn.
From the Surgical Service, Veterans Administration Medical Teaching Group Hospital.

AMA Arch Surg. 1959;79(3):483-486. doi:10.1001/archsurg.1959.04320090131019

At times it appears necessary to employ a major amputation in the treatment of malignant tumors of the extremities. According to our present precepts for tumor eradication, the operation quarterectomy should fulfill the ultimate in block excision and lymphatic extirpation which must prove to be better in the removal of lymph channel invasion than mere dissection of these channels, which at best permits spilling of malignant cells in the operative site.

Definition  The term quarterectomy1 is used instead of one of the long confusing terms, such as hemipelvectomy or interinnominoabdominal amputation2,3 for ablation of the lower quarter, and interscapulothoracic amputation4,5 for removal of the upper quarter, and the term employed therefore will be lower quarterectomy or upper quarterectomy as the case may be. This meaningful term is a brief descriptive one and should expedite designation of the type of operation by the mere saving of words.A