. The American journal of roentgenology, radium therapy and nuclear medicine . osis. Figure 12shows a dilated ureter and kidney pelviswhich were producecl by such a malignantstricture. Irradiation in this case gavecomplete relief of pain fur a period of a\car. FIowe\er, such treatment has Inour hands often failed to rclie\e these Clinical Problems in Roentgen Therapy of Deep-seated Malignancy 827 strictures. When both ureters are stenoseddeath is imminent. Ewing states: Thenatural termination of most cases of uter-ine cancer is through uremia from occlu-sion of the ureters. Fever is as likely
. The American journal of roentgenology, radium therapy and nuclear medicine . osis. Figure 12shows a dilated ureter and kidney pelviswhich were producecl by such a malignantstricture. Irradiation in this case gavecomplete relief of pain fur a period of a\car. FIowe\er, such treatment has Inour hands often failed to rclie\e these Clinical Problems in Roentgen Therapy of Deep-seated Malignancy 827 strictures. When both ureters are stenoseddeath is imminent. Ewing states: Thenatural termination of most cases of uter-ine cancer is through uremia from occlu-sion of the ureters. Fever is as likely tobe due to a cystitis or pyelitis as aninfection in the growth itself. Such aninfection should be treated medically be-fore Irradiation is begun. Fistulae openingeither into the rectum or the bladder mayoften be closed or partially closed byapplying radium to the edge of the open-ing in quantities sufTicIent to cause markedcontraction. The se\ere skin irritationabout the vulva accompanying a fecalfistula has healed when kept continuouslycovered with a coating of zinc oxide. Fig. 12. Pyelogra7ii illustrating a iiydroncphrosiscaused by a stricture of the ureter secondary tocarcinoma of the cervix. The symptoms were typicalof stricture of the ureter. ointment. Arrow 6 in Figure 10 representsextension up into the abdomen, but thistype of extension is rarely is for this reason that carcinoma of thecervix and its compactly arranged metas-tases are so effectiNely rayed. The deeppelvic glands are in\aded late in the dis-ease, but their enlargement cannot bedetected from the outside of the large doses are applied it should beremembered that the cervix Is bounded In front by the bladder and behind by therectum. The proof in the literature of the sen-sitiveness of carcinoma of the cervix istoo extensive to be doubted and no attemptwill be made to set down the many refer-ences which describe excellent Is an established fact that many early
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