. Journal of radiology . des. These cases are still un- Page Thirty-three EPITHELIOMA OF THE PENIS—SCHREINER AND KRESS der observation. One case wastreated by radical operation fol-lowed by radium, in which therewere definite metastases in thegroins. The disease recurred andthe patient died eleven monthsafterwards. Radium alone wasused in one case which was faradvanced showing extensive in-volvement of both groins. Treat-ment was of no avail. Three cases were treated byx-ray followed by radical opera-tion, which consisted of amputa-tion of the penis, removal of the metastases in both groins. T
. Journal of radiology . des. These cases are still un- Page Thirty-three EPITHELIOMA OF THE PENIS—SCHREINER AND KRESS der observation. One case wastreated by radical operation fol-lowed by radium, in which therewere definite metastases in thegroins. The disease recurred andthe patient died eleven monthsafterwards. Radium alone wasused in one case which was faradvanced showing extensive in-volvement of both groins. Treat-ment was of no avail. Three cases were treated byx-ray followed by radical opera-tion, which consisted of amputa-tion of the penis, removal of the metastases in both groins. Treat-ment was discontinued, unim-proved. In the other cases, thelesion on the penis which was ex-tensive, was treated with unfil-tered x-ray in three sittings inthe course of six weeks withtwice the erythema dose eachtime. On account of enlargedlymph nodes the groins werepacked with radium filteredthrough .5 mm. of silver, 1 lead, 1 mm. of aluminum, 1cm. of rubber, at a distance of6 cm., each groin receiving 9700.
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