American quarterly of roentgenology (1906) (14756979222)

Identifier: americanquarterl01amer (find matches)

Title: American quarterly of roentgenology

Year: 1906 (1900s)

Authors: American Roentgen Ray Society

Subjects: Nuclear Medicine Radiography Radiology Radiology

Publisher: Pittsburgh : American Roentgen Ray Society

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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posures were then made for sevenmonths and the improvement was so marked that hopes ofa complete cure were entertained. The patient remainedin relatively good condition for six months, although theleukocyte count was high and there was a high percentageof myelocytes. Roentgen irradiation was renewed whenthere was a change for the worse. The treatment was thencontinued for seven weeks, but he gradually grew worseand died with symptoms of a severe intoxication. Theautopsy was performed by Dr. Jack and the material sentto me for examination. It had been fixed in four per centformaldehyde solution and was imbedded in paraffin andstained with various stains. The microscopic examination of sections of the lungs,liver, pancreas, large and small intestine showed atrophy,chronic passive congestion and slight parenchymatous de-generation, but no signs of a leukemic condition. Thewhite cells in the blood vessels were not increased and therewas no leukemic infiltration. The spleen did not present

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Fig. i. Calcification of kidney in case of leukaemiatreated by Rontgen irradiation. Low power. Haemat-xylin and eosin preparation. Dark masses consist oflime salts staining deep blue with haematoxylin. OF EOENTGENOLOGY. 39 the characteristics of a leukemic organ. Only in theretroperitoneal lymph nodes were changes found suggestiveof an intrinsic disease of the blood-cell forming organs.These nodes showed a marked lymphoid hyperplasia, thenormal structure of a lymph-node being wholly lost. Thelymphoid cells infiltrated the capsule and the surroundingadipose tissue. In so far as the pathological picture wasconcerned the leukemic condition had been changed into analeukemic. Without considering the other pathological features ofthis case certain remarkable changes in the kidneys demandour attention at the present time. On cutting the kidney intopieces suitable for imbedding a marked grating and resist-ance was noted. The cut surface showed numerous whitishareas and stripes corresponding c

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1906

Francis A. Countway Library of Medicine

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