Abstract
To the Editor: —The communication appearing inThe Journal, November 24, by Dr. J. C. Bloodgood, with this title is of more than ordinary interest. Dr. Bloodgood divides his cases of lower lip lesions into five classes. For brevity's sake permit me to divide them into three: Lesions primarily and continuously benign. Borderline lesions. Lesions primarily and continuously malignant. It is, of course, recognized that time and conditions may, in a certain proportion of individuals, transform Class 2 into Class 3. Dr. Bloodgood cites one specific instance in which a patient presented a submental metastatic node following successful healing of the primary lesion on the lower lip by radium seven months previously. He makes no mention of such a possibility after a surgical removal, but broadly states that the proper treatment in such cases is a sectional removal by the V-shaped incision, and then makes the astonishing assertion that there
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