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Is Extended Radical Resection Superior to Lobectomy in Treating Resectable Bronchial Cancer?

David P. Boyd, MD
JAMA. 1966;195(12):1033. doi:10.1001/jama.1966.03100120101026.
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Most of us would rather be positive than negative. Thus, it is tempting to recall the occasional case—the one in which part of the esophagus or aorta was taken—with long-term palliation or survival. But this occurs rarely in bronchogenic carcinoma when compared with the results of surgery elsewhere, as in the thyroid, the colon, or the uterus; it occurs so rarely that with increasing experience, there is a tendency to become less and less aggressive. Ultimately, however, the problem of the selection of the proper surgical procedure for lung cancer settles down to a reasonable pattern. This may be summarized as follows: The surgical treatment of many hundreds of cases of undifferentiated bronchial carcinoma by ourselves and others shows quite conclusively that lobectomy is as effective as pneumonectomy, provided that all of the disease is removed.9 Figures in adenocarcinoma are less firm, and in alveolar cancer even more tentative,


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