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184 RADIUM
Case 5. Lara* carcinoma (prickle cell type) of the temple associated with multiple basal celled carcinomas and many
keratoses. One of these small growths can be seen lo the photograph just anterior to ihe right ear below the large
growth of the temple. Duration six months since the last operation . .
When first wen there was a large foul ulcerating cau'lllowcr mass B»_. by . \i centimeters and raised above the surface
about 2^ centimeters. .
This growth «a* given 3,100 milligram hours of radium by inserting needles deeply Into Ihe tumor margins.
The picture on the right: Shows a complete retrogression of Ihese growths. The scars are soft and pliable, but dimpled,
due to Ihe removal of normal tissue by previous operations »*d the caustic applications.
Case C. This Is an example of the slow growing, infiltrating variety of prickle cell carcinoma of the lower lip. 1*1*
type of growth Is less radio-sensitive than Ihe more rapidly growing, raullflowerllko epitheliomas, but offers a better
prognosis because ol Its relatively late metastasis.
In the treatment of this growth there was given approximately l.flOO milligram hours of radium about Ihe margin.
Due care was taken to protect the ulcerating area from Intense radiation, which would have resulted Id a breaking
down of this area.
A dental compound Impression was made of the lower Up and chin and radium tubes and needles were held In position
in (he dental compound, crossfirlng the margins of Ihe growth from boUi the mucous membrane and skin surfaces.
When lasr heard from (one year agol the patient was olive and well without recurrence of the carcinoma more than
Ihrec years after treatment.