We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Wound Irrigation to Prevent Local Recurrence of Cancer

R. G. COLLIER, M.D.; R. C. EY, M.D.; G. O. McDONALD, M.D.; W. H. COLE, M.D.
AMA Arch Surg. 1959;78(4):528-534. doi:10.1001/archsurg.1959.04320040024008.
Text Size: A A A
Published online


Since the beginning of the clinical trial of the prophylactic or adjuvant treatment of cancer, we have been searching for topical anticancer agents which were not bone-marrow depressants. Such agents could be used locally (topically) for wound irrigation to kill cancer cells but would not add to the depression of the hematopoietic system caused by concomitant systemic use of anticancer drugs, such as mechlorethamine hydrochloride, N. F. (nitrogen mustard). In the experimental laboratory we had found that mechlorethamine and triethylenethiophosphoramide (ThioTEPA), both polyfunctioning alkylating agents, were effective in preventing the implantation of tumors in the liver following intraportal injection of tumor-cell suspensions.1 As a result of this experimental work, we chose mechlorethamine as the agent to be used in the clinical trials of the administration of anticancer agents to the patient at the time of surgery. In other experimental work2 we had determined that mechlorethamine, when diluted properly,


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.