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R a d i u m
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But 2 of 15 cases have gone over ihe fiveyear period.
No patient should be considered cured until he has passed the five
year period. We have had one case which was well for four years, and
then developed a seondary tumor, in his prostate, probably from some
residiuum of his bladder carcinoma.
Proof of removal
Number of case-
Proved by cystoscopy 10
Proved by operation 2
Not proved .. 3
It is our routine to cvstoscope all cases every six months up to five
years, unless there be suspicion of carcinoma, hematuria, etc., between
these times.
Mortality of suprapubic removal
Of 9 cases in which this was done. 1 case died of carcinoma one
year and nine months after operation, so there was no dircet operative
mortality.
Papillary carcinoma of the bladder, analysis of the 2 dead or dying cases
1. Extensive carcinoma, all over the bladder, died two years after
radium implantation, from metastases to urethra and inguinal glands.
2. Multiple carcinoma of the bladder neck, removed intravesical!)'.
Two years later had swollen legs from metastases to glands around iliac
veins.
INFM.TRATINC. CARCINOMA OF TUT- RLAOOKR
Sixty-one cases, including only those which pathological section or
palpation or cystoscopy have shown infiltration of Ihe bladder wall.
Results
Number of cases
Well -8
Result not yet determined 13
Dead or dying 3°
These results, as compared vvith the results in papillary carcinoma.
indicate how much more serious is the infiltrating type.
Infiltrating carcinoma of the bladder, analysis of zvell eases
Pathology Number of cases
Infiltrating carcinoma 5
Carcinoma *
Papilloma
No section -
In many of these cases the pathological examination was made from
a very small portion excised with a cystoscopic forceps. It is not always
possible although it is always attempted, to get a piece of the edge of
the tumor where it infiltrales ihe hladder wall.