. Radium . evealedan extensive tumor of the mediastinum apparently extending out into thelung tissue (Fig. 8). Treatment.—The first treatment was given. Jan. 27, 1916. with 2,495mg. of radium, screened with 3mm. of lead and 4 inches of gau:^e, ap-plied to one area on the back and one area on the chest for seven hourseach. Following this treatment the patient was greatly nauseated andupset for four or five days, and lost from 2 to 3 pounds in weight. Shethen, however, began to gain weight and imi>roved markedly in generalappearance. There was also a gradual subsidence of the jtercussible are


. Radium . evealedan extensive tumor of the mediastinum apparently extending out into thelung tissue (Fig. 8). Treatment.—The first treatment was given. Jan. 27, 1916. with 2,495mg. of radium, screened with 3mm. of lead and 4 inches of gau:^e, ap-plied to one area on the back and one area on the chest for seven hourseach. Following this treatment the patient was greatly nauseated andupset for four or five days, and lost from 2 to 3 pounds in weight. Shethen, however, began to gain weight and imi>roved markedly in generalappearance. There was also a gradual subsidence of the jtercussible areaof dullness and marked reduction in the shadow. March 24, 1916. the entire chest, front back, wa^ radiated overeight portals with 2,558 mg. of radium through 3mm. of lead and ^4inch of gauze for two hours on each portal. The same general malaiseand disturbance were noted after this radiation as after the first. Thepatient then began improving again in weight and appetite. The final I I^ADIUM. Fig. 12. (Case 6).—Immense shadow showing a large growth, May 15,l>16, in the mediastinum. treatment was given, May 15, lyiO, with 1,969 mg. of radium screenedwith 3mm. of lead and 3 inches of gauze on the front of the chest forfour hours, and on the back of the chest for four hours. The condition at the last roentgenographic examination made at thehospital in May is shown in Figure 9. The vocal cord paralysis had en-tirely disai»i)eared. The patient then returned West, and is now in thePhilii)pine Islands. She still is reported to be finite thin, but has nocough. A roentgenogram of the chest shows, if anything, a slight im-j)rovement in the condition over that of the last examination. Cask 5( 1965).—Extensive mediastinal fiiniar 7iith marked respira-tory distress, greatly improved by treatment. History.—(i. J. S., man, aged 49, had a sensation of pressure in thechest with inability to breathe without great difficulty and severe cough. lixamination.—The ])atient was ver


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Keywords: ., bookauthorcameronw, bookcentury1900, bookdecade1910, bookyear1913