. The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent; designed for the use of practitioners and students . FlG. 425. Case 118, Mrs. B. During treatment by the X-rays. \\eight, 1161 pounds. See also Fig. 424. siderable mass of glands developed in the neck and left side above the clavicle,but they too disappeared under the action of the X-rays. The induration of theright side, which at one time included the whole right breast, also largely dis-appeared, not more than one-fourth remaining when treatment was discontinuedbecause the patient was obliged to re


. The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent; designed for the use of practitioners and students . FlG. 425. Case 118, Mrs. B. During treatment by the X-rays. \\eight, 1161 pounds. See also Fig. 424. siderable mass of glands developed in the neck and left side above the clavicle,but they too disappeared under the action of the X-rays. The induration of theright side, which at one time included the whole right breast, also largely dis-appeared, not more than one-fourth remaining when treatment was discontinuedbecause the patient was obliged to return to her home to avoid the rigorouswinter chmate. The treatment was carried on six months in all, and the patientwas not well when it was stopped ; but there was great improvement in her condi- APPENDIX 705 tion locally, she had gained in strength and general well-being, and had enjoyed the summer. Six months later I learned that the improvement was still maintained. The seven cases that did not heal all improved somewhat locally; one was inoperable, and the rapidly increasing growth involved both breasts ; the other six. Fig. 426. Case 62, Mrs. D., fifty years of age. Patient of Dr. Post. Diagnosis, carcinomaof the breast. Inoperable, and therefore referred to me for treatment by the X-rays. Tlie extremehardness of the breast and surrounding parts as far as the axilla cannot be shown in the cut. The arm was bound to the side. See Fig. 427. were cases of recurrence after one or more operations. Two of these latterwere so extensive as to be entirely hopeless from the beginning; in the remam-ing four the glands were involved, and metastases had taken place; one of thesehas died, and two of the others will probably not live long. 7o6 THE ROENTGEN RAYS IN MEDICINE AND SURGERY The general effects of the X-rays when used locally in some forms of newgrowths are noteworthy. The improvement observed after a few exposures, of apatient with epithelioma of the nose, for example, who was


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