Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . / AT. —]7&*> ft ~c*rvtc+l . ear 11*2 ^8 for jt-^ys. I Fig. 1.—Median longitudinal section of pelvis showing isodoses of radium capsule, columnto left gives total x-ray intensities obtained for each centimeter of depth. Modified fromOpitz-Friedrich. panhysterectomies for cancer of the uterus with radiation therapy,obviously to degenerate the cancer first and thereby render safer thesurgical procedure. To apply radiation properly it is necessary toemploy such an intensity of rad
Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . / AT. —]7&*> ft ~c*rvtc+l . ear 11*2 ^8 for jt-^ys. I Fig. 1.—Median longitudinal section of pelvis showing isodoses of radium capsule, columnto left gives total x-ray intensities obtained for each centimeter of depth. Modified fromOpitz-Friedrich. panhysterectomies for cancer of the uterus with radiation therapy,obviously to degenerate the cancer first and thereby render safer thesurgical procedure. To apply radiation properly it is necessary toemploy such an intensity of radiation that the periphery of the bonypelvis is struck with the same intensity as the region in the axis ofthe pelvis, , the cervix; otherwise the peripheral cancer cells arestimulated to increased proliferation. Such a radiation treatment al-ways causes a decided radiation sickness. During this period thepatient could not be safely subjected to the additional trauma and TREATMENT OF CANCER OF THE UTERUS 331. 332 HENRY SCHMITZ shock of a capital surgical procedure. The operation must be post-poned for from three to six weeks during which time the patient willhave recovered from the radiation toxemia. If the operation is per-formed within a few days after radiation, the patient succumbs tosepsis and shock with an alarming frequency. Should the operationbe postponed to a later period, the same danger is still present onaccount of necrosis of tissue in the cervical canal which cannot beavoided. These factors and the intense connective tissue formationin the parametrium which renders hemostasis difficult do not make itadvisable to resort to preoperative radiations. Should a panhysterectomy for a clearly operable uterine carcinomabe followed by radiation to prevent recurrences? Recurrences resultfrom carcinoma cells left behind during an operation. They are foundeither in the tissues surrounding the wound crater or at the peripheryof the bony pelvis. The former are termed loc
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