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Radium, Vol. 7

Radium, Vol. 7

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Excerpt from Radium, Vol. 7: A Monthly Journal Devoted to the Chemistry, Physics and Therapeutics of Radium and Radio-Active Substances; April, 1916

In the treatment of malignant glands of the neck by means of radium, careful attention should be give to the toilet of the mouth. The presence of ulceration or of carious teeth may lead to septic infection of neighboring glands which in com bination with enlargement of other glands, the result of the existing malignancy, may produce on the introduction of a radium tube definite abscess formation.

The majority of the cases treated during the year have been cases of rodent ulcer, and of carcinoma of the breast, uterus, rectum, and mouth.

The treatment of rodent ulcer continues to yield excellent results. Short, unscreened exposures (1 - 3 hours) of strong plates of radium are still the best method of dealing with them. In fact, falling back on the use of metal screens with longer applications is usually a sign of failure; although such a treatment applied at the beginning may be as successful as the unscreened method. Moreover it is unnecessary and less economical. Stevenson's needles are of material assistance. However, in clearing up certain ulcers with greatly thickened edges and deep induration. In fact, many cases which would otherwise have been regarded as hopeless have yielded perfect results following needle treatment.

To carcinoma of the breast practically the whole of the general remarks of this report apply. In a number of cases the primary growth has been removed by radium, and individual secondary deposits dealt with in the same way. Thus many of the painful and unpleasant features of the disease have been diminished, but usually a distant metastasis has in the end placed the patient beyond hope. If the growth be extremely large and widespread the same state of inability to repair is produced as in the case of a nodule formed in an unfavorable position.

The treatment of carcinoma of the cervix of the uterus has, on the whole, given good results. In dealing with such cases it has been customary to give a general anaesthetic. In this way a tube of SO mcs.

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