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May 1961

Progress in Pediatric Cancer Surgery: Recent Advances in the Surgical Management of Neoplasms in Infants and Children

Author Affiliations

Dr. Richardson is Professor of Pediatric Surgery, University of Oklahoma School of Medicine, and Chief of the Surgical Service, Children's Memorial Hospital.

Arch Surg. 1961;82(5):641-655. doi:10.1001/archsurg.1961.01300110003001

Cancer ranks second only to accidents as a cause of death in children. It is now the leading cause of death from disease in children of ages 3 to 14 years. The years of potential salvage provide a better measure of general importance than the 1% contribution to malignant disease of all ages.

"Management" properly implies that all phases of total care are the concern of the surgeon, and "recent advances" may conveniently be presented under 4 headings: research and education, prevention, diagnosis, and treatment.

Research and Education  Cancer in children is a major concern for an increasing number of physicians and institutions, and this has inevitably accelerated progress in management and understanding. Rupert Willis' recent book title, Borderlands of Embryology and Pathology, recognizes the fundamental biologic significance of growth research in the young.1 No tumor of the adult ordinarily grows as rapidly as does the normal embryo. Nowhere