. The American journal of roentgenology, radium therapy and nuclear medicine . mass about12X6X4 mm. lying between the vocalcords. This, on a second laryngoscopicexamination, was spontaneously coughedup and proved to be a squamous-cellepithelioma. Basal metabolic rate, JanuaryI, 1923, was plus 44. January 16, 1923,plus 28. On January 27th, 1923, underlocal anesthesia, a 6 cm. horizontal incisionwas made over inferior portion of left lobeof thyroid; the ribbon muscles were re-tracted and eight mgm. needlesInserted into the gland. Radium wasremoved at the end of twenty hours. March8, 1923, g
. The American journal of roentgenology, radium therapy and nuclear medicine . mass about12X6X4 mm. lying between the vocalcords. This, on a second laryngoscopicexamination, was spontaneously coughedup and proved to be a squamous-cellepithelioma. Basal metabolic rate, JanuaryI, 1923, was plus 44. January 16, 1923,plus 28. On January 27th, 1923, underlocal anesthesia, a 6 cm. horizontal incisionwas made over inferior portion of left lobeof thyroid; the ribbon muscles were re-tracted and eight mgm. needlesInserted into the gland. Radium wasremoved at the end of twenty hours. March8, 1923, gland was about half original size; voice slightly improved. Laryngoscopicexamination shows growth to be aboutone-half former size. Basal metabolicrate plus ijji. Five mgm. needleswere again Inserted Into the thyroid glandfor twenty-four hours and directly opposite In order to obtainmaximum cross-fire effect. Patient dis-charged from hospital at the end ofthirty-six hours. Remarks. Seven days after re-insertionof radium needles, patient without Interro-. Fic. 6. Case I. August ji, uiii. Ili. ,i. 1:^1 n>li tlirci-months after initial radium treatment. Area ofmoderate induration at site of growth. Generalhealth much unproved. gation remarked that tonsils were verymuch smaller; that they used to touch eachother. No change in size of gland. March 27, 1923, patient returned forobservation. Thyroid gland normal insize. Tonsils reduced to one-third originalsize; growth In larynx very much 120; weight 120^2 lbs. Voice im-proved. Surface application 2400 mgm. hrs. April I-, 1923, thyroid of normal size;tonsils showed no change since lastexamination; growth In larynx slightlylarger. Dr. T. C. Davis of the Nose andThroat Department of the Samaritan Hospi-tal, Philadelphia, devised a speclalappllcatorfor introduction of radium directly to thegrowth, but it was impossible to keep It 878 The Action ot Buried Radium on Diseased Thyroids in Man in position
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