. 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 . Fk;. 232. B. F. About a month later than preceding figure. History. — Five months previous to my seeing this patient, as hedrew his hand out of his pocket he tore off a small wart. An ulcer thenformed, which grew rapidly. At the time of his entrance to the hospi-tal, the ulcerated surface was centimetres long and 4 centimetreswide and was surrounded by an edge raised in parts i centimetre abovethe surface of the skin, and this edge was firmly
. 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 . Fk;. 232. B. F. About a month later than preceding figure. History. — Five months previous to my seeing this patient, as hedrew his hand out of his pocket he tore off a small wart. An ulcer thenformed, which grew rapidly. At the time of his entrance to the hospi-tal, the ulcerated surface was centimetres long and 4 centimetreswide and was surrounded by an edge raised in parts i centimetre abovethe surface of the skin, and this edge was firmly indurated ; the wholemass presented a cauliflower-like appearance. (See Figs. 233 and 234.)-Dr. Mallory reported as follows : —■ 432 THE ROENTGEN RAYS IN MEDICINE AND SCKGERY The growth shows a typical, rapidly growing epidermoid carcinomacontaining many epitheUal pearls. Mitotic figures are numerous. The. Fig. 233. D. K. Epidermoid cancer of liand. Near the beginning of treatment. THERAPEUTIC USES OF THE X-RAYS 433 surface of the growth is ulcerated; the underlying tissue is infiltratedwith many polynuclear leucocytes. The carcinoma extends out at theedo-e for some distance in the corium underneath the normal epidermis.(See Fig. 235, page 434.) Treatment. — Daily exposures were made — usually of five or tenminutes, sometimes of twenty minutes duration — with the hand at adistance of 15 centimetres from the target of the tube. Improvementbegan in about one week, at which time the two photographs, of which ►
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