IN RECENT years, a trend to intensification of radiation therapy for malignant disease together with extension of the indications for radical surgical extirpation has become evident. Intensive radiation has been given before as well as after the radical surgical procedures, and more secondary, and even tertiary, operations have been advised and performed when involvement and operability could be determined only by such surgical explorations. In many of these cases roentgen therapy of varying degrees has been given at varying periods prior to and following each procedure.
In his interesting and informative paper appearing in this issue of the A. M. A. Archives of Surgery, Dr. Berman lauds this "attempt to advance the horizons of knowledge by dynamic exploitation of currently available means." He recognizes the "element of considerable risk from the standpoint of postoperative morbidity, although this risk does not constitute a logical objection to this prodigious undertaking, considering what