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Article |

The Lymphatics in Cancer, ed 1.

Robert M. Goldwyn, MD; R.M. G.
Arch Surg. 1973;106(5):742. doi:10.1001/archsurg.1973.01350170102032.
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This well-written book should be known to every surgeon who deals with cancer. The authors quote Lord Moynihan: "The surgery of malignant disease is not the surgery of organs, it is the anatomy of the lymphatic system." Despite a better understanding of cellular growth and recognizable progress in irradiation and chemotherapy, removal of neoplasms by surgery is still the prevalent treatment. Yet it is surprising how much cancer surgery is done with so little knowledge of anatomy. If carefully read, this book should correct that deficiency to the benefit of the patient.

The first section concerns the history and knowledge of lymphatics, their anatomy, methods of study, and the spread of cancer within that system. Specific parts are next considered: the head and neck, the thorax and its contents, the breast, the trunk, the extremities, and the large intestine. Instead of fatiguing the reader with a catalog of channels, the


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