. Röntgen ray diagnosis and therapy . tbe taken up again for ashort period. The viewsof Volkmann and Heiden-hain are strikingly illus-trated by the observationof the two following eases : Fig. 273 illustrates apatient of ninety-one yearsof age who suffered fromepithelioma of the eyelidfor four years. He wastreated chemically, espe-cially with caustics. No attempt at excision was ever made. The patient was greatly dis-turbed by the excruciating pain in and around the deep ulcer. Allefforts to give relief proved to be failures until an attempt wasmade with the Rontgen rays. After the first expos
. Röntgen ray diagnosis and therapy . tbe taken up again for ashort period. The viewsof Volkmann and Heiden-hain are strikingly illus-trated by the observationof the two following eases : Fig. 273 illustrates apatient of ninety-one yearsof age who suffered fromepithelioma of the eyelidfor four years. He wastreated chemically, espe-cially with caustics. No attempt at excision was ever made. The patient was greatly dis-turbed by the excruciating pain in and around the deep ulcer. Allefforts to give relief proved to be failures until an attempt wasmade with the Rontgen rays. After the first exposure, whichlasted five minutes, the pain was considerably lessened, and afterthe second exposure, two days thereafter, it disappeared protection was given, except that the patient closed his eyesduring the seance. Sometimes the distance of the tubal wall fromthe skin was not more than half an inch. Although, after the nineteenth exposure, slight erythema de-veloped, the seances were not stopped until, after the twenty-sec-. FlG. 273.—Epithelioma of Lower Lid andCanthus. (Compare Fig. 274) 398 THE RONTGEN RAYS ond, painful dermatitis showed over the face. Further irradia-tion was stopped then for two weeks, when all signs had disap-peared. The remainder of the ulcer was dusted with xeroform,which was also used in the intervals. After three more exposuresthe epithelioma had fully cicatrized (Fig. 274). At the sametime an epithelioma showed its first signs at the lower lip. It is at present being treated withRontgen light. The eyeis in no way affected. It must be assumedthat while the macroscop-ical evidence of carci-noma was concentratedupon the eyelid, the cellsmust have been spreadaround the lymph-vesselsof the whole face, thus,finally, establishing afocus in the lower lip. The case illustrated byFigs. 275 and 276 isanalogous. It concerns aman of fifty years, whoseepithelioma of the lowerlip (Fig. 275) was cured,no signs of recurrenceshowing until eighteenmonths a
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