. Surgical differentials. , which ordinarily complete their cycle of develop-ment in about three months, if exposed to radium, remain mealworms; refusing for an indefinite period to manufacture theircocoons: (5) Starvation. This treatment has been elaboratelyworked out by Dawbarn, and he has conclusively shown thatin certain forms of sarcoma it is of distinct value and possiblyso in the case of other malignant growths. The principle is tocut off as much nutrition as possible without causing thehealthy parts to slough. Its most favorite site for employmentis after the removal of sarcomatous gro


. Surgical differentials. , which ordinarily complete their cycle of develop-ment in about three months, if exposed to radium, remain mealworms; refusing for an indefinite period to manufacture theircocoons: (5) Starvation. This treatment has been elaboratelyworked out by Dawbarn, and he has conclusively shown thatin certain forms of sarcoma it is of distinct value and possiblyso in the case of other malignant growths. The principle is tocut off as much nutrition as possible without causing thehealthy parts to slough. Its most favorite site for employmentis after the removal of sarcomatous growths from the region ofthe antrum or lower face. The technic consists not in ligationbut in actual excision of the great bulk of the arterial and ven-ous supply. The treatment then of malignant disease as exemplified inthe breast, consists of early removal, followed by prophylactictreatment. This may be by prolonged exposure to Radio-activ-ity or by Starvation. CHAPTER XLSTOMACH AND GUT. ^ranches ft, ~ ~?bCard,*. -^ Fig. 29CELIAC AXIS. This drawing represents the stomach as a transparent body throughwhich can be seen the pancreas and its arteries. To draw theCeliac Axis draw the lines 1, 2 and 3 (see small cut to right andbelow the main one.) Then join 1 to 3 and 2 to 3 in the mannershown. Subdivide the terminations of the lines 1, 2 and 3 andcompare the result with the large sketch. 126 GROSS PATHOLOGY OF ULCER. It is Utopian to look for the last days of proprietary diges-tants, but it is conservative to say that in future there will bemore stomach lesions treated by the knife than by purgativepills and predigesting powders. We eat well but not wisely hence the stomach has manyminor woes. Aside from these, the most interesting and mostvitally important, because of its relation to carcinoma, is GASTRIC ULCER. The etiology of the condition is unknown, but it probablyhas much to do with repeated traumata of the mucosa. Thepathology presents characteristic phenomena. The


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