. Journal of radiology . months of her ill-ness. Vaginal examinationshowed a cauliflower mass in-volving the cervix, which bledeasily and from which exuded asero-sanguineous, offensive dis-charge. The anterior vaginal wallshowed ulceration and indurationfor half its length and the pos-terior w all to a lesser degree. Theuterus was enlarged with abso-lute fixation and no satisfactoryopinion could be given w ith refer-ence to the adnexa on account of IXTRA-VAGIX \L T11 K R.\VY—M KRRITT invasion in that region. The rec-tum was apparently not bladder was negative except-ing for tender
. Journal of radiology . months of her ill-ness. Vaginal examinationshowed a cauliflower mass in-volving the cervix, which bledeasily and from which exuded asero-sanguineous, offensive dis-charge. The anterior vaginal wallshowed ulceration and indurationfor half its length and the pos-terior w all to a lesser degree. Theuterus was enlarged with abso-lute fixation and no satisfactoryopinion could be given w ith refer-ence to the adnexa on account of IXTRA-VAGIX \L T11 K R.\VY—M KRRITT invasion in that region. The rec-tum was apparently not bladder was negative except-ing for tenderness and frequencyof urination which was increasedby my examination. There wasa rather profuse hemorrhage theday following the examination,which was controlled by a pack. to the effect that it was acell carcinoma. flat Again in October I examinedthe patient and found a completedisappearance the cachexiaweight of 25 of with a gain inpounds. The mass in the vaginawas replaced by apparentlyhealthy healed scar tibsue, and. Fig. I.—Close up side view, showing the method ofsupporting the legs and the x-ray tube in position. I considered the case inoperableand in consultation with Dr. Par-ker referred the case for x-raytherapy. After the first applica-tion of the x-rays I removed asmall fragment of the tumor forlaboratory study, and received areport from Dr. Lester Neuman the remnant of the cervix wasrepresented by a small granulat-ing surface corresponding to theinternal os from which there wasa muco-purulent discharge. Thethickened walls of the cul-de-sacmade examination of the uterusdifficult, but it could be quite Page Thirly INTRA-VAGI XAT. T] I ERAPY—M ERRITT readily found retro-displaced andnormal in size. For a case thatseemed hopeless in April the re-sults so far are very gratifying. Treatment: The patient wasadmitted to Garfield Hospital,May 25, [920, and received intra-vaginal x-ray treatments fromthen to November 8, 1920, at through skin areas—four anteriorand four
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