. 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 . machine. As examples of the good effect of thistreatment, I will cite the following cases : — Case I. H. N., a young man twenty-five years old, who had beena patient of Dr. H. L. Burrell, and by him was kindly transferred tomy service, gave the following history: He had always been well andstrong. Three months ago he noticed a small crusted sore on the rightside of the lower hp, which he thought was a coldsore. It, however, 1 Note on the Treatment


. 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 . machine. As examples of the good effect of thistreatment, I will cite the following cases : — Case I. H. N., a young man twenty-five years old, who had beena patient of Dr. H. L. Burrell, and by him was kindly transferred tomy service, gave the following history: He had always been well andstrong. Three months ago he noticed a small crusted sore on the rightside of the lower hp, which he thought was a coldsore. It, however, 1 Note on the Treatment of Epidermoid Cancer by the Roentgen Rays, Boston Medicaland Surgical Journal, ]2iX\Mdixy 17 and April 4, 1901. 424 THE ROENTGEN RAYS IN MEDICINE AND SURGERY kept up a constant scabbing, and slowly grew larger. There was noattendant pain, but it had grown fairly rapidly during the past twoweeks. The patient came to the hospital far operation. A small bit of the growth was removed and submitted to ProfessorMallory, assistant pathologist at the Boston City Hospital, for exami-nation. He reported that the growth was an epidermoid cancer. The. Fig. 225. H. N. After treatment with the X-rays. Front view. lesion on the right half of the lower lip was centimetres long andabout I centimetre wide; it was crusted and indurated. A small glandwas felt under the inferior maxilla, just to the right of the the patient had complained of some pain in the lower lip nearand around the lesion. The first exposure to the X-rays was of seven minutes a- THERAPEUTIC USES OF THE X-RAYS 425 tion, and the patient was placed about 12 centimetres from thetarget of the tube. The resistance of the tube was equivalent centimetres of air. During the ensuing week daily exposuresof five minutes duration each were made. All the parts except


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