So far as our present knowledge of cancer goes the nearest approach to its successful management rests on early diagnosis, prompt and thorough operative removal of the widest possible area and a careful and systematic surveillance of the patient during the rest of his life. It would be trite to dwell on the importance of the earliest possible recognition of malignant disease. All surgeons know at what a late day the great majority of cancer cases reach the specialist. The delay is due, 1, to non-perception on the part of the patient or to his fear of being given an unpleasant report, and, 2, to lack of recognition by the medical attendant or to his delay while awaiting the appearance of positive evidences.
The first must be dealt with by the systematic instruction of the laity through suitable lectures of a popular nature, magazine articles and the like. It is