. The American journal of roentgenology, radium therapy and nuclear medicine . direc-tion through the chest toward the media-stinum. On ]\Iarch loth we introduced 200mgm. of radium into this tumor tissue for aperiod of six and a half hours. On May 4ththe disease had practically disappeared, butthere were a few doubtful areas that wefelt might still be malignant. Therefore weintroduced 100 mgm. of radium with needlesinto these suspected areas for a period ofsix and a half hours. At the present time,so far as we can tell, she is free from dis-ease. This is not reported as a cure, but il-lustrate
. The American journal of roentgenology, radium therapy and nuclear medicine . direc-tion through the chest toward the media-stinum. On ]\Iarch loth we introduced 200mgm. of radium into this tumor tissue for aperiod of six and a half hours. On May 4ththe disease had practically disappeared, butthere were a few doubtful areas that wefelt might still be malignant. Therefore weintroduced 100 mgm. of radium with needlesinto these suspected areas for a period ofsix and a half hours. At the present time,so far as we can tell, she is free from dis-ease. This is not reported as a cure, but il-lustrates the type of case in which we are,I believe, justified in using radium treat-ment and in which I believe we may hopefor success. Frankly I believe that she willrecover and remain well, and in this type ofcase I believe that her chances are better withradiation than they would be with opera-tion.* RECURRENT AND METASTATIC DISEASE Recurrent and palpable metastatic disease *She has no palpable malignant disease (November9, 1921). 666 A-Ray Treatment in Carcinoma of the Breast. Fig. 7. Case 3. Carcinoma in upper inner quadrantwith some evidence of mediastinal disease in awoman of seventy-one years of age, which has en-tirely disappeared under ;tr-ray and radium treat-ment. Duration of the disease, two jears. Finishedphotograph not yet made. miL^t be treated according to the principleswhich are involved in the preceding descrip-tion. In general, recurrent and metastaticdisease is the least satisfactory to be treatedby anv method, because it is utterly impos-sible to decide definitely the extent of thedisease, but in many instances most remark-able results can be obtained. In a generalway, the roentgen rays should be applied ac-cording to the methods described in the pre-vious two groups, making every effort to ex-tend the radiation beyond the area of the dis-ease. It should be our aim to give as muchradiation as possible in the shortest periodof time possible until the disease is e
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