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Evaluation of Dissection of Cervical Lymph Nodes

EDWARD S. JUDD, Jr., M.D.; OLIVER H. BEAHRS, M.D.

Arch Surg. 1949;59(3):422-432.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THERE is considerable diversity of opinion regarding the treatment of the region of the cervical lymph nodes in the presence of labial and intraoral malignant lesions. As Wilson¹ pointed out, the lymphatic spread of cancer may vary according to the primary site and therefore the results should be studied in terms of the origin of the metastatic lesions. In this paper we shall present only the results of treatment of the neck in squamous cell epithelioma of the lower lip.

The trend in the treatment of cervical nodes, as Duffy² has pointed out, has progressed from radical surgical procedures, pioneered by Kocher, Cheattle, Bloodgood and Crile, through extensive use of radiation at some centers to a consideration of the two methods separately or in combination.

It is felt that metastatic lesions develop by lymphatic emboli rather than by direct extension.³ Therefore, the treatment of the secondary lesion can be considered to be separate from . . . [Full Text PDF of this Article]

Author Affiliations
Fellow in Surgery, Mayo Foundation ROCHESTER, MINN.

Dr. Judd is from the division of surgery of the Mayo Clinic.

Footnotes
Read at the Sixth Annual Meeting of the Central Surgical Association, Cleveland, Feb. 18, 1949.

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