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132 R a d i u m
XIV. Carcinoma of the Prostate, by Benjamin S. Barringer.
XV. Radium Treatment of Carcinoma of the Bladder, by Benjamin
S. Barringer.
XVI. Radium Therapy of Teratoid Tumors of the Testicle, by Benjamin
S. Barringer and Archie L. Dean, Jr.
XVII. Epithelioma of the Penis, by Benjamin S. Barringer and Archie
L. Dean, Jr.
XVIII. The Present Field for the Use of X-Rays and Radium in the
Treatment of Malignant Tumors, by William S. Stone.
XIX. An Analysis of Radiation Therapy in Cancer, The Mutter Lecture,
by James Ewing.
In the foreword it is stated: "Two main considerations have led
to the delay in issuing the second report. The foremost of these has
resulted from the rather numerous changes in technical methods which
were found necessary in the development of the work while the treatment
of various forms of carcinoma was in the experimental stage. The
second consideration was the great desirability of having a longer period
of observaiion of cases treated before attempting to form judgments
regarding the efficiency of the methods used.
"Owing to present uncertainties in both these particulars, no mention
is made in this report of several diseases, the radiation treatment
of which is at present occupying much of the attention of the medical
staff. For the forms of carcinoma discussed in this second report, it is
the belief of the staff that no radical changes are likely soon to occur
either in the methods employed or in the character of the results obtainable
by radiation, and it is therefore thought best to issue the report
at this time.
"Several of the contributions included in the report, as well as many
others by members of our hospital staff, have already been published in
various medical journals where they have been accessible for one or more
years. Others have been prepared especially for this publication."
The first article on "The Present Status and Scope of Radium
Therapy at the Memorial Hospital" was written by Dr. Janeway shortly
before his death and was later somewhat revised. In the second article,
also by the late Dr. Janeway. detailed description is given of the "Technical
^Principles Employed in Radium Therapy at the Memorial Hospital."
The next fifteenchapters are devoted to the discussion of radium
treatment of various malignant growths, including exact data on the
methods and dosage used and the results attained.
In chapter XVIII, Dr. William Stone makes a masterly general
summary of the "Present Field for the Use of the X-ray and Radium
in the Treatment of Malignant Tumors." In opening. Dr. Stone says:
"Roentgen rays and radium in the treatment of malignant tumors are
still accepted reluctantly by the surgeon, except as palliative agents in
the advanced stages of the disease. Their application before the patient
is in an incurable stage appears to be an insufficiently tested method. In
the case of X-rays it is particularly so. for, before the recent advent of
the high-voltage machine. X-ray therapy had become so overshadowed
by the results of radium that it had lost somewhat of its early reputation.
"It seems, therefore, to he an opportune time to review this work.
as it has been presented to the writer during a service of seven years at
the Memorial Hospital. During this period more than io.ooo cases of
neoplastic disease have been under his observation, to the majority of