Surgery of extensive malignant neoplasms of the upper digestive and respiratory systems.

Abstract

Introduction In this paper there are presented the detailed histories of two cases in each of which an operation had to be planned to deal with an extensive malignant neoplasm of the upper parts of the digestive and respiratory systems. These are then discussed in the light of a brief review of the literature and experience of other cases. While such operations have to be varied in detail to suit the particular case, emphasis is placed here on the underlying general principles observance of which may mitigate failure. It is hoped that the conclusions reached may prove of use to others. Report of Cases Case1.—A 64-year-old man, with a severe chronic bronchitis, addicted to drinking much beer and to smoking, presented with a history of mouth discomfort for one week. He had a large carcinoma inside the left cheek involving the mandible at the junction of the body with