. The American journal of roentgenology, radium therapy and nuclear medicine . ct thatperitoneal implantations often show spon-taneous retrogression where no treatmentof any kind is given following is not fair, therefore, to give all thecredit for clinical !mpro^ement to irradia-tion. Schaefer^ reports some excellentresults in cases irradiated following radicalsurgery, although he had a number otfailures. Belot^ claims to have caused adisappearance of ascites and general im-pro\ement in a case with peritoneal metas-tases treated following operation. Thisevidence justifies the trea
. The American journal of roentgenology, radium therapy and nuclear medicine . ct thatperitoneal implantations often show spon-taneous retrogression where no treatmentof any kind is given following is not fair, therefore, to give all thecredit for clinical !mpro^ement to irradia-tion. Schaefer^ reports some excellentresults in cases irradiated following radicalsurgery, although he had a number otfailures. Belot^ claims to have caused adisappearance of ascites and general im-pro\ement in a case with peritoneal metas-tases treated following operation. Thisevidence justifies the treatment of suchpatients, although the dosage must be Clinical Problems in Roentgen Therapy of Deep-seated Malignancy 825 regulated so as to safeguard the intestinaltract. Figure 9 represents the paths ot exten-sion ordinarily observed with carcinomaof the fundus of the uterus. This lesionusually appears at or after the meno-pause, and the first sign is a dischargewhich later becomes bloody. Pain is avery late symptom. The discharge islikely to appear while the tumor is local-. FiG. Q. Carcinoma of the uterus extends beyond theuterine walls at a late stage in the disease alongthe paths indicated by the arrows. ized within the thick walls of the uterus,and consequenxly surgical removal is thetreatment of choice in the earlier network of lymphatics which sur-rounds the tubes and ovaries is ofteninvaded; it is therefore wise to do a totalhysterectomy, if operation is decided symptoms of carcinoma of the fundusare identical with those caused by a num-ber of benign lesions which may occur inthe uterus, and a diagnostic curettageis the most essential step in making adiagnosis. One of the .v-ray tables in ourlaboratory is made with a drop leaf and detachable stirrups, and an electrical ster-ilizer is placed near by. A diagnosticcurettage can be done without materiallydisturbing the equipment of the .v-rayroom. All pebic cases are examined on thistable before and after
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