“…Secondly, where surgery has only managed an incomplete removal of the tumour, the results are often much better than had ben expected. Abbey Smith (1963) reports a 10% five year survival rate following non-curative operations, and this has led him to attempt resection in every case that, after careful preoperative clinical assessment, has been deemed suitable for operation. By so doing, he is able to report an operability rate of 96%, yet he estimates that only one in every eight patients seen was operated on, and there must ,be almost an equal number that never get referred to a surgeon.…”