. The American journal of roentgenology, radium therapy and nuclear medicine . Fig. 12. Pyelogra7ii illustrating a iiydroncphrosiscaused by a stricture of the ureter secondary tocarcinoma of the cervix. The symptoms were typicalof stricture of the ureter. ointment. Arrow 6 in Figure 10 representsextension up into the abdomen, but thistype of extension is rarely is for this reason that carcinoma of thecervix and its compactly arranged metas-tases are so effectiNely rayed. The deeppelvic glands are in\aded late in the dis-ease, but their enlargement cannot bedetected from the outs
. The American journal of roentgenology, radium therapy and nuclear medicine . Fig. 12. Pyelogra7ii illustrating a iiydroncphrosiscaused by a stricture of the ureter secondary tocarcinoma of the cervix. The symptoms were typicalof stricture of the ureter. ointment. Arrow 6 in Figure 10 representsextension up into the abdomen, but thistype of extension is rarely is for this reason that carcinoma of thecervix and its compactly arranged metas-tases are so effectiNely rayed. The deeppelvic glands are in\aded late in the dis-ease, but their enlargement cannot bedetected from the outside of the large doses are applied it should beremembered that the cervix Is bounded In front by the bladder and behind by therectum. The proof in the literature of the sen-sitiveness of carcinoma of the cervix istoo extensive to be doubted and no attemptwill be made to set down the many refer-ences which describe excellent Is an established fact that many early. Fig. 13. The complicated metastatic possibilities incarcinoma of the breast. cases have been cured and many ad\ancedones relieved of symptoms. It is somewhatdiscouraging to note that Seltz^ wasunable to increase his percentage of fhe-year cures when deep x-ray therapy \\asadded to the radium therapy already inuse. Involvement of the bladder, rectum,vagina or ureters makes the prognosispoor, and the presence of such Involvementshould be known before treatment Is chart shown in Figure 13 representsthe very complex situation encountered 828 Clinical Problems in Roentgen Therapy of Deep-seated Malignancy in cancer of the breast. It would be wellfor the surgeon to have this chart inmind when he is contemplating the removalof a breast for carcinoma, since many ofthese metastases occur early and are nottouched by the most radical statement is well borne out by a tableof statistics published by Sistrunk andMcCarty,^ of the Mayo Clinic. Twohundred eighteen cases operat
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