. Journal of radiology . TREATMENT OF CANCER OF THE LIP— otherwise the roentgen rays should beused. If metastatic nodules are palpablethey should have preliminary radiation,as above described, and should then bedissected out surgically, or treated bythe insertion of radium needles sufficientto destroy the disease. Radium needles of ten mg. each maybe inserted one cm. apart throughoutthe diseased area, and left in place foreight hours. Following the insertion ofradium needles into tissues there is the production of fibrous nodules (espe-cially when the needles are placedfarther apart, a
. Journal of radiology . TREATMENT OF CANCER OF THE LIP— otherwise the roentgen rays should beused. If metastatic nodules are palpablethey should have preliminary radiation,as above described, and should then bedissected out surgically, or treated bythe insertion of radium needles sufficientto destroy the disease. Radium needles of ten mg. each maybe inserted one cm. apart throughoutthe diseased area, and left in place foreight hours. Following the insertion ofradium needles into tissues there is the production of fibrous nodules (espe-cially when the needles are placedfarther apart, and left in place six-teen hours), which are composed offibrous tissue and result from the ne-croses produced by the radium. Theywill lead the untrained to suspect ma-lignant nodules or redevelopment of thedisease. With our meager knowledgeon this point, it will require consider-able skill to be able to distinguish be-tween the disease and the fibrous , I urge close Figure III.—(a)—Dr. Chas. Cunning-hams patient. Epithelioma of the en-tire lower lip. Followed an injury by the limb of a tree five years pre-viously. No lymph nodes palpable. Treated by radium because destructionwould have involved the loss of the entire lower lip. Figure III.— (b)—Treated last on February 3, 1920. Still well November,1921. !
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