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112 R a d i u m With regard to carcinoma of the fundus. I. of course, have a yendifferent feeling. If I had to elect a site for carcinoma in a woman. I would most certainly choose the fundal portion of the uterine cavity. My ex|>erience has been that if the patient is seen within a few months of her first symptoms she has a very good chance of complete cure by an ordinary panhysterectomy. Of course the use of deep x-ray has to be considered in certain of these cases; as for instance, a woman upon whom I operated three years ago. and in whom the extension of the disease was more widespread than I had expected. In this case I am certain that a small portion of the cervix was of necessity left in situ. The repeated use of x-ray and radium, by Dr. Pfahler. has resulted in the complete disappearance of anything which can be considered pathologic as far as the vaginal examination is able to reveal. On the other hand. I have within the last few days advised against, or rather, acquiesced in the decision of a patient against hysterectomy, because the carcinomatous condition of the fundus was of three years' standing, and because the feel of the uterus impressed me with the belief that there was beginning |>eritoneal extension. She will have x-ray and radium. I wish that Dr. Norris had been a little more definite in stating how he differentiates cases suitable for panhysterectomy, and I hope lhat when he publishes his paper, this point will be fully covered. There is one thing in his paper which to my mind, from the standpoint of cure, is more important than anything else and that is the question of bleeding at the time of menopause. If it could be impressed upon all women that at the time of the menopause, any increase of bleeding is a danger sign. and that its occurrence means that a most thorough examination should be made by a competent gynecologist, with a uterine curettage if necessary, there is no question that the statistics of cervical carcinoma could be improved beyond anything for which we can hope at ihe present time. It has always seemed to me to be extremely unfortunate that women are not instructed a* to what constitutes menstruation, in order that thev might know that a mere discharge of blood from the genitalia is not necessarily a menstrual [>enod. I'nfortunately, otherwise intelligent women have absolutely no conception of what menstruation really is. and as is well known, there is a firmly entrenched belief that the' menopause i< usually ushered in by hemorrhage. Of course the difficulty is that in a good many instances benign hemorrhage does occur as a symptom. I believe that it it would be possible, by the teaching of physiology in the higher grades oi the common schools, and bv a nation-vvide propaganda, to enforce this one fact upon the women "of America, we would see a tremendous improvement in the cancer mortality in the next twentvhve years. Finally. I would simply mention the only adverse criticism of these two papers, which is the advice to use the sound in the office as a diagnostic means of detecting the possible presence of fundal carcinoma It is all very well to have trained men. under the stringent precautions outlined by Dr. Norris. use this procedure, but I think it a grave mistake to advocate its use bv the profession at large, as the ordinary nonhealing practitioner has absolutely no know ledge of what constitutes asepsis.
R a d i u m 113 BLOCKING LYMPHATICS IN THE CONTROL OF CARCINOMA OF THE PROSTATE GLAND * By Robert H. Hi:ri:st. M. D.. Chicago We do not know any more about the cause of cancer of the prostate than we do about cancer occurring in other <strong>org</strong>ans. We do know, however, that at least 20 per cent, of all neoplasms of this gland are malignant. Hg. 1.—Bladder turned downward and rectum cut off; posterior wall of bladder, seminal vc*iele> and prostate flanil visible, with lymph channel' on surface of prostate Mining four main trunks and draining into lymph node* about the iliac vessels and promontory of the
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PRESENTED BY PUBLISHER
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CONTENTS OF VOLUME THREE. NEW SERIE
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F. W. Aston, D.Sc, F.R.S. Atoms and
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2 Radium P. M. the apparatus is app
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Radium value of the metal container
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Radium Table I—Continued Classifi
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8 RADIUM The affections of the thyr
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10 R a d i u m The treatment should
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12 Rapitjm ooo per cubic millimetre
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14 Radium tines of tubercle bacilli
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16 R A D I U M 4. Lymphatic Leukaem
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18 RADIUM than in anv other organs
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20 R a d i u m In a previous paper
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99 Radium 2 mm. thick; the whole ap
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2-1 Radium inum tubes in use. These
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26 R a d i u m 5-gr. capsule and sw
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28 R A D I U M 1 tared, as in the f
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80 R a d i u m (6) The greatly less
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32 R a d i u m and at times three,
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04 R a d i u m capsule is placed un
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36 R a d i u m 1 have observed one
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38 R A D I U M Frequency and Distri
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10 R a d i u m holder with comparat
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42 HADITJ M gestion of the eve whic
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44 R a d i u m The low polymorphonu
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46 Radium examined, it is believed
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48 I^ADITJM Positive results of exp
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50 R a d i u m 1 Is e III , -m If "
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»2 R a d i u m The summary of phys
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Radium 55
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R a d i u m 57 s V. — •7 CO N
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R a d i u m 59 Measuring radium by
Page 69 and 70: R a d i u m 6i Bibliography I. Gudz
Page 71 and 72: R a d i u m 68 Ited cells, SUBJECT
Page 73 and 74: R a d i u m TECHNIQUE OF RADIUM TRE
Page 75 and 76: R a d i u m B7 INDEX OF ARTICLES RE
Page 77 and 78: R a d i u m 69 Bower, J. O. and Cla
Page 79 and 80: R a d i u m 71 —Treatment of mali
Page 81 and 82: R a d i u m 73 —Carcinoma of oeso
Page 83 and 84: R a d i u m 75 —Uses of radium in
Page 85 and 86: R a d i u m 77 Kimbrough. J. B. and
Page 87 and 88: R a d i u m 7^ Lymph Nodes—Histol
Page 89 and 90: R a d i u m si Nicolich—Carcinoma
Page 91 and 92: R a d i u m 83 Radium— —Large d
Page 93 and 94: a d i u m 85 -Physical conditions o
Page 95 and 96: R a d i u m ST Arch. f. Gynak. 118:
Page 97 and 98: R a d i u m 89 Scholten, G. C. J.
Page 99 and 100: R a d i u m 91 (A. J. Larkin) Am. J
Page 101 and 102: R a d i u m 93 —Xecessity for com
Page 103 and 104: RADIUM 95 Wallerstein, E. U.—X-ra
Page 105 and 106: A QUARTERLY JOURNAL DEVOTED TO THE
Page 107 and 108: R a d i u m 99 casionally a carcino
Page 109 and 110: R a d i u m 101 would be detected w
Page 111 and 112: R a d i u m 103 cially likely if th
Page 113 and 114: R A D I U M 105 radium irradiations
Page 115 and 116: R a d i u m 107 that in nearly ever
Page 117 and 118: R a d i u m 109 liver and lung meta
Page 119: Radium in Appleton Co., 1922. (2) P
Page 123 and 124: R a d i u m 115 removed, and the ra
Page 125 and 126: R a d i u m in PATHOLOGY Pathologic
Page 127 and 128: 4. Cauhape: Thesis. Paris. 1911. R
Page 129 and 130: R a d i u m 121 is necessary by thi
Page 131 and 132: Radium 123 is injected into the tis
Page 133 and 134: R a d i u m 125 (3) Polonaise Numbe
Page 135 and 136: R a d i u m 127 modern laboratories
Page 137 and 138: R a d i u m 129 NINTH ANNUAL MEETIN
Page 139 and 140: R a d i u m 131 Several distinguish
Page 141 and 142: R a d i u m 133 which X-rays or rad
Page 143 and 144: R A D I U M 135 In the autobiograph
Page 145 and 146: R A D I U M 137 of radical operatio
Page 147 and 148: R a d i u m 139 reports 26 cases, 8
Page 149 and 150: R a d i u m 141 George W. Crile, M.
Page 151 and 152: R a d i u m 143 "In carcinoma of th
Page 153 and 154: R a d i u m 145 " 1 he principal ob
Page 155 and 156: IUM 147 have found no means of obvi
Page 157 and 158: R a d i u m 149 and six hours. Now
Page 159 and 160: R a d i u m 151 thoroughly transfix
Page 161 and 162: R a d i u m 153 weakness, palpitati
Page 163 and 164: R a d i u m 155 had all been benefi
Page 165 and 166: R a d i u m i57 tation of the kidne
Page 167 and 168: Radium 159 Can walk only with a can
Page 169 and 170: A QUARTERLY JOURNAL DEVOTED TO THE
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R a d i u m 163 in operative clinic
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a d i u m 165 In Table II we have d
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Hajmu.m 167 tery was used in combin
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R a d i u m 169 TABLE IX.—RESULTS
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R a d i u m m Radium alone Class i.
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R a d i u m 173 and papillary carci
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R a d i u m 175 It grows rapidly, i
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R a d i u m 177 emanation tubes. Th
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R a d i u m 179 never at any time f
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R a d i u m 181 THE TREATMENT OF MA
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R a d i u m 183 Cast 3. Carcinoma a
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R a d i u m 185 Chm 7. Showing cond
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R a d i u m 187 courting disaster b
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R a d i u m 189 radium in the treat
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R a d i u m 191 Histologic changes
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R a d i u m 193 about their involut
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R a d i u m 195 due to x-ray, sunli
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R a d i u m 197 zation of a partial
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R a d i u m 199 to report his cases
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201 very often will result in a dec
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R a d i u m 203 the cautious use of
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IUM 205 On Jan. 14th. which was a v
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CONCLUSIONS 207 That in some cases
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R a d i u m 209 (b) The fluorescent
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R a d i u m •, 211 patient. The p
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R a d i u m 213 radiological depart
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R a d i u m 215 fortunately, the im
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R a d i u m 217 know whether such c
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R a d i u m 219 eight months had el
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R a d i u m 221 "The selective and
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R a d i u m 223 of a simple unitary
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A QUARTERLY JOURNAL DEVOTED TO THE
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R a d i u m 227 in their beta ray a
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R a d i u m 229 or the gradation of
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R a d i u m 231 be left in malignan
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R a d i u m 233 during repeated cau
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R a d i u m 235 3. The presence of
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R a d i u m 237 situated at the lim
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R a d i u m 239 REFERENCES 1. Wickh
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Rajpium 241 the test of five years,
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R a d i u m 243 comparative statist
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R a d i u m 245 end results of 201
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R a d i u m 247 Operation Hysterect
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R a d i u m 'IV.) and five years, a
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R a d i u m 251 or effect upon, the
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R a d i u m 253 2. Early Cases.—T
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R a d i u m 255 groups: the superfi
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R a d i u m 257 "I am becoming more
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R a d i u m 259 ment of 'Radiumhemm
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R a d i u m 261 unusual symptoms an
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R a d i u m 263 dition continued sa
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R a d i u m 265 died from hemorrhag
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R a d i u m 267 equals 132 millicur
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R a d i u m 269 "The data in the li
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R a d i u m 271 animals a diminutio
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R a d i u m 273 rays as contrasted
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R a d i u m 275 depression than a d
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R a d i u m 277 repeated operations
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R a d i u m 279 tonsil completely,
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Radium 281 Ihe tonsil is dangerous
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R a d i u m 283 WILLIAM H. B. AIKIN
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DEVOTED TO THE CHEMISTRY, PHYSICS A
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PUBLISHED SEMI-ANNUALLY AND DEVOTED
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R a d i u m 3 ORAL CANCER The next
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lymph nodes in even case, but when
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adiation up to 2400 milligram hours
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R a d i u m o radium to relieve pat
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R a d i u m 11 Uterine Fibroids The
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R a d i u m i3 by some operators. X
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R a d i u m 15 from the operation h
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R a d i u m n tions, the distance s
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R a d i u m 19 APPENDIX RADIUM AND
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Radium 21 BASIC AND CONTBIBUTING FA
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RA.PIUM 23 X-RAY AND RADIUM THERAPY
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R a d i u m 25 Since, by the impact
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R a d i u m 27 duccd which were cov
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R a d i u m 29 In other cases the g
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R a d i u m 31 The recital of this
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R a d i u m 33 index of articles re
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R a d i u m 35 Block, F. B., and Cl
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R a d i u m ?,- J. R. Ranson) Color
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R a d i u m :;:» —Epithelioma of
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R a d i u m 4I Forsdike. S.-Cancer
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R a d i u m 43 Hot Springs, Arkansa
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R a d i u m 45 Lee. B. J., and Here
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R a d i u m 47 Mineral Waters, exam
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R a d i u m 49 —Treatment of inop
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R a d i u m 51 - Metabolic changes
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R a d i u m 58 Radium, emanation—
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R a d i u m .>.) —Physiological a
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R a d i u m 57 —Experimental rese
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R a d i u m 59 Spleen, physiology
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R a d i u m 6l —Animal tumor cell
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R a d i u m es —Treatment of uter
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PUBLISHED SEMI-ANNUALLY AND DEVOTED
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R a d i u m e? CONTRAINDICATIONS TO
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R a d i u m 69 in addition to the i
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Radium 71 the most common, in the o
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R a d i u m ?:; nexae is a positive
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R a d i u m 76 essential to success
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R a d i u m 77 Our technique is to
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carcinoma of the CERVIX R a d i u m
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R a d i u m 81 a bleeding, cauliflo
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R a d i u m HS Fibrinous patch on e
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R a d i u m sr, mal 7 days later. A
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R a d i u m ST idly develops and me
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R a d i u m 89 2. Cervical cancer o
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R a d i u m 91 irradiation treatmen
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R a d i u m 93 by a study of curett
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R a d i u m 96 parenchyma eventuall
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R a d i u m 97 ihe lowest (2) was t
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R a d i u m 99 3. The treatment int
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R a d i u m 101 harder and shows on
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a d i u m 103 Sloughy Not sloughy .
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R a d i u m 105 But 2 of 15 cases h
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R a d i u m 107 Sice (not of tumor,
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IUM 109 Time well Number of cases i
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R a d i u m 111 died of a secondary
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R a d i u m 113 epithelioma of the
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R a d i u m 115 This writer also fo
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R a d i u m 117 as held by many wri
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R a d i u m 119 of foods, particula
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R a d i u m 121 which, in the last
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R a d i u m 123 "It has long been r
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R a d i u m 125 OBITUARY JAMES C. G
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• 3 1812 04298 6001
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