. Journal of radiology . lties in differentiat-ing it from periosteal sarcoma. Whenit is multiple, sarcoma can be x-ray picture, as far as my ex-perience goes differentiates it frommultiple ostitis fibrosa and metastaticcarcinoma. The most important points in treat-ment are the administration of salvarsanintravenously and a search for the focusof infection, which, when found shouldbe removed. I have no evidence as yetthat incision with removal of the newbone formation is helpful. just described is superior to any formof an operation primarily, and in thesecases if the breast is re


. Journal of radiology . lties in differentiat-ing it from periosteal sarcoma. Whenit is multiple, sarcoma can be x-ray picture, as far as my ex-perience goes differentiates it frommultiple ostitis fibrosa and metastaticcarcinoma. The most important points in treat-ment are the administration of salvarsanintravenously and a search for the focusof infection, which, when found shouldbe removed. I have no evidence as yetthat incision with removal of the newbone formation is helpful. just described is superior to any formof an operation primarily, and in thesecases if the breast is removed, at leastthe axilla should scarcely, if ever, beopened following radiation. At pres-ent probably the safest method to fol-low is to give sufficient surface treat-ment of radium or x-ray and then twoor three weeks later to imbed radiumthroughout the breast, into the glandsof the axilla and into the glands lead-ing from the axilla to the breast, andthen four weeks later to removethe breast and as much of the adjacent. Imbedding Radium in the Treatment ofCarcinoma of the Breast* RADIUM IN TREATMENT OF BREAST CARCINOMA—BOGGS tissue as is deemed necessary. If theremoval is done at this time, it will bedone before much fibrous tissue hasformed. In all the progress made in recentyears in radiotherapy, nothing has beenevolved of such significant import in thetreatment of carcinoma of the breast,as the advanced method of imbeddingradium, with its manifold and variedadvantages and possibilities in deeptherapy. By imbedding radiumthroughout the entire breast, in the ax-illa, into the glands leading from thebreast to the axilla and into the glandsbelow the clavicle, this supplemented bydeep x-ray therapy, radiation is madeas thorough as a radical dissection with-out opening the lymph channels. In the early days of radiotherapy adeep lethal dose could not be givenwithout producing superficial ulcerationor necrosis. By imbedding radium alethal dose can be given without anyeffect on t


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