The Thomas E. Jones Memorial Lecture*—Changing attitudes toward the treatment of cancer

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As a result of the devotion and generosity of the Jones family, a number of distinguished surgeons have been honored by being invited to give the Jones lecture. None has felt more honored than myself, because no other one had been introduced to surgery by the hands of the master himself. It was my privilege to learn both the technique and the philosophies of surgery from Dr. Tom Jones.

This year the Jones Lecture has a particular poignancy, for it is devoted not only to the memory of Dr. Tom Jones but also to that of Dr. John Jones, a surgeon who in his own field of cardiac and thoracic surgery was as superb as was his older brother in the field of surgical oncology. With the exception of Dr. Charles and Dr. Will Mayo, I know of no other brothers who have made such unique places for themselves in surgery. We who remain at the Cleveland Clinic are proud of these two men whose careers the Clinic played a part in shaping.

In 1934 and 1935, when I was a Resident in General Surgery at the Cleveland Clinic, under Dr. Thomas Jones, many surgeons were thinking in terms of ever-expanding operations for cancer. Pneumonectomy was in its infancy, as was resection of the esophagus for cancer. Some surgeons were performing total gastrectomies routinely for cancer of the stomach. The “Commando” operation was being developed for cancers of the mouth. Radical neck dissection was being advised by some in the . . .



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