The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14777563673)
Zusammenfassung
Identifier: americanjournalo10ameruoft (find matches)
Title: The American journal of roentgenology, radium therapy and nuclear medicine
Year: 1906 (1900s)
Authors: American Radium Society American Roentgen Ray Society
Subjects: Radiotherapy X-rays
Publisher: Springfield, Ill. C.C. Thomas
Contributing Library: Internet Archive
Digitizing Sponsor: Internet Archive
Text Appearing Before Image:
ned, steel needles containing radiumelement may be inserted into the growth, 2-23,1922. The Treatment of Malignant Disease of the Skin bv Radiation 213 the time of exposure depending upon theamount of element in the needles and thesize of the growth. Fortunately, we are notseeing many of the very extensi\e long-standing cases with great destruction oftissue, which were so common a few yearsago. It is always possible to keep this typeof basal-celled epithelioma under control,but it is almost impossible to produce apermanent cure in many of them. Theborders of such very extensive growthsshould receive the most attention, as the probably increases the scarring somewhat,and this is of particular importance inlesions about the eye. In addition, curet-ting is apt to be rather painful. The ques-tion can only be solved by experience. Itwill probably develop that certain well-defined types should be curetted beforeradiation, while others should receiveradiation only. At the present time, it is
Text Appearing After Image:
Fig. 2. Basal-celled epithelioma, cicatrizing and ulcer-ating type. Treated with surface applications ofradium in plaques and tubes. activity is usually confined to this area.Whenever bone is involved, the prognosismust be guarded. If the bone involvementis not too extensive, a thorough raying,with the production of a severe reaction,may cause a sequestrum to form, which,when It separates, will carry with it all theremaining malignant tissue. The questionof curetting the pulpy rodent tissue beforeradiation is still an open one. The advan-tages are: Lessening the time of radiationby about one-half, the exposure of the trueextent of the lesion, which cannot alwaysbe accurately judged by observation andpalpation, and the procuring of tissue for amicroscopical examination. It is also likelythat the percentage of recurrences will beless if the lesions are curetted before radia-tion. The chief disadvantage is that it Fig. 3. Basal-celled epithelioma. Curetted on accountof the depth of invol