Treatment of Malignancy

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No one can write adequately of any phase of the problems presented by malignant disease without acknowledging his debt to James Ewing. While the surgeon is primarily concerned with the possibilities of the removal of an invaded tissue, in the matter of the extent of operation in each case he must be guided by his decision as to whether the growth is truly benign, premalignant or frankly malignant. Doctor Ewing’s purpose, as expressed in his preface, is to contribute something toward the reduction of mortality from cancer. Since it is only by increasing knowledge of the nature of cancer that mortality from this disease can be reduced, he has certainly made a great contribution toward the attainment of this purpose. Ever since the appearance of the first edition of “Neoplastic Diseases” in 1919, my associates and I have constantly made use of the wealth of information contained in that and in the succeeding editions.

While neither the cause of malignant disease nor its cure has yet been found, despite world-wide researches and vastly extending clinical experience, nevertheless great progress toward the conquering of this scourge of the human race has been made by the disproof of many false theories, by the discrediting of many so-called “cures,” the studies of the incidence of malignancy in relation to age, race, climate, and the different bodily tissues, by investigations of its method of growth, and by the observation of the effects upon it of various physical and chemical agents. From all of these. . .