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100 RAPIU M FIs- L Multiple Papillary Carcinoma of Bladder Fig. J. Solid Type Papillary Carcinoma; Bladder Trabeculated: Knlarged Proatatt at Left
R a d i u m 101 harder and shows on pathological examination atypical cells in atypical arrangement, such a tumor is more malignant and urologists arc some divided as to whether such a tumor is better dealt with by radical operalion or by radium. If a tumor is from the -tail fiankiv infiltrating, fiat and ulcerating. and has no papillary characteristics, then radium is. in the opinion of many, useless. Yet, in the past ten years we have destroyed not a few such tumors with radium alone, and I believe we have statistics at hand lo prove that the most brilliant results arc in the small infiltrating bladder carcinoma, many of which can be thoroughly and easily irradiated through the cystoscope, so dispensing with any operation. If this is so. we can immediately place in the ledger, on the credit side of radium. Ihe operative mortality (5 to 20 ]>er cent) to which the patient would have been subjected had there been an attempt to remove the tumor by operation alone. For the sake of presenting as definite statistics as possible, wc have reclassified all our cases at the Memorial Hospital, making two broad classifications of bladder carcinoma: (1) papillary carcinoma; (2) infiltrating carcinoma. In the first group are put all cases which are frankly carcinomatous, and so proved by the appearance of slough (the large majority were sloughy in whole or part) by the pathological examination, or by the failure to react to fulguration. In the second group are placed those cases showing induration by palpation or infiltration by pathological examination of some portion of the tumor and the adjacent bladder wall. No pure papillomata are included in these groups. We have included all cases of large or small carcinomas which have been removed intravesically and all cases in which, because of the size of the tumor. we have implanted radium through a suprapubic opening. These last cases date from June. 1919. when we first used this method. PAPILLARY CARCINOMA OF THE BLADDKR Twenty-three cases, including all types, not proved by pathological examination or palpation, to be infiltrating. Results Xumber of cases Well *§ Result not yet determined Dead or dying 2 Dead or dying 2 Papillary carcinoma of the bladder, analyses of well cases Pvthology Xumber of case; Positive for carcinoma s Positive for papillomata -1 No section 3 In these last t, cases the diagnosis of carcinoma was made because of sloughv solid tumors seen on cystoscopy, or suprapub.cally. In one case the tumor was in addition resistant to fulguration.
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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
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R a d i u m 6i Bibliography I. Gudz
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R a d i u m 68 Ited cells, SUBJECT
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R a d i u m TECHNIQUE OF RADIUM TRE
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R a d i u m B7 INDEX OF ARTICLES RE
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R a d i u m 69 Bower, J. O. and Cla
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R a d i u m 71 —Treatment of mali
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R a d i u m 73 —Carcinoma of oeso
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R a d i u m 75 —Uses of radium in
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R a d i u m 77 Kimbrough. J. B. and
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R a d i u m 7^ Lymph Nodes—Histol
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R a d i u m si Nicolich—Carcinoma
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R a d i u m 83 Radium— —Large d
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a d i u m 85 -Physical conditions o
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R a d i u m ST Arch. f. Gynak. 118:
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R a d i u m 89 Scholten, G. C. J.
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R a d i u m 91 (A. J. Larkin) Am. J
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R a d i u m 93 —Xecessity for com
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RADIUM 95 Wallerstein, E. U.—X-ra
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A QUARTERLY JOURNAL DEVOTED TO THE
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R a d i u m 99 casionally a carcino
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R a d i u m 101 would be detected w
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R a d i u m 103 cially likely if th
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R A D I U M 105 radium irradiations
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R a d i u m 107 that in nearly ever
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R a d i u m 109 liver and lung meta
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Radium in Appleton Co., 1922. (2) P
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R a d i u m 113 BLOCKING LYMPHATICS
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R a d i u m 115 removed, and the ra
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R a d i u m in PATHOLOGY Pathologic
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4. Cauhape: Thesis. Paris. 1911. R
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R a d i u m 121 is necessary by thi
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Radium 123 is injected into the tis
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R a d i u m 125 (3) Polonaise Numbe
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R a d i u m 127 modern laboratories
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R a d i u m 129 NINTH ANNUAL MEETIN
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R a d i u m 131 Several distinguish
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R a d i u m 133 which X-rays or rad
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R A D I U M 135 In the autobiograph
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R A D I U M 137 of radical operatio
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R a d i u m 139 reports 26 cases, 8
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R a d i u m 141 George W. Crile, M.
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R a d i u m 143 "In carcinoma of th
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R a d i u m 145 " 1 he principal ob
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IUM 147 have found no means of obvi
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R a d i u m 149 and six hours. Now
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R a d i u m 151 thoroughly transfix
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R a d i u m 153 weakness, palpitati
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R a d i u m 155 had all been benefi
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R a d i u m i57 tation of the kidne
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Radium 159 Can walk only with a can
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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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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
Page 343 and 344: R a d i u m 49 —Treatment of inop
Page 345 and 346: R a d i u m 51 - Metabolic changes
Page 347 and 348: R a d i u m 58 Radium, emanation—
Page 349 and 350: R a d i u m .>.) —Physiological a
Page 351 and 352: R a d i u m 57 —Experimental rese
Page 353 and 354: R a d i u m 59 Spleen, physiology
Page 355 and 356: R a d i u m 6l —Animal tumor cell
Page 357 and 358: R a d i u m es —Treatment of uter
Page 359 and 360: PUBLISHED SEMI-ANNUALLY AND DEVOTED
Page 361 and 362: R a d i u m e? CONTRAINDICATIONS TO
Page 363 and 364: R a d i u m 69 in addition to the i
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Page 367 and 368: R a d i u m ?:; nexae is a positive
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Page 373 and 374: carcinoma of the CERVIX R a d i u m
Page 375 and 376: R a d i u m 81 a bleeding, cauliflo
Page 377 and 378: R a d i u m HS Fibrinous patch on e
Page 379 and 380: R a d i u m sr, mal 7 days later. A
Page 381 and 382: R a d i u m ST idly develops and me
Page 383 and 384: R a d i u m 89 2. Cervical cancer o
Page 385 and 386: R a d i u m 91 irradiation treatmen
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Page 389 and 390: R a d i u m 96 parenchyma eventuall
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Page 397 and 398: a d i u m 103 Sloughy Not sloughy .
Page 399 and 400: R a d i u m 105 But 2 of 15 cases h
Page 401 and 402: R a d i u m 107 Sice (not of tumor,
Page 403 and 404: IUM 109 Time well Number of cases i
Page 405 and 406: R a d i u m 111 died of a secondary
Page 407 and 408: R a d i u m 113 epithelioma of the
Page 409 and 410: R a d i u m 115 This writer also fo
Page 411 and 412: R a d i u m 117 as held by many wri
Page 413 and 414: R a d i u m 119 of foods, particula
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Page 417 and 418: R a d i u m 123 "It has long been r
Page 419 and 420: R a d i u m 125 OBITUARY JAMES C. G
Page 422: • 3 1812 04298 6001
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