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January 1938, Vol 37, No. 1 >
Article | January 1938

MANAGEMENT OF METASTATIC CARCINOMATOUS GLANDS IN THE NECK

W. H. GUY, M.D.; F. M. JACOB, M.D.
Arch Derm Syphilol. 1938;37(1):43-51. doi:10.1001/archderm.1938.01480070046006.
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In reviewing cases of carcinoma in and about the oral cavity during the last few years we have been impressed by the high percentage of cures in cases in which there were no metastases and with the almost insurmountable difficulties of therapy when the carcinoma has invaded the cervical glands. We have observed cures when palpable glands have been present, and we have encountered cases in which a metastatic malignant growth caused death although no involvement of the glands could be demonstrated at the time the primary growth was treated. In an attempt to answer some of the questions raised by these facts we have searched the literature and present here the results of this study, as well as our own results. On the whole, the data are rather unsatisfactory. Numerous articles reviewed have not been utilized because of prejudicial statements of opinion not backed by sufficient clinical or histologie

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