Medical ArticlesHuman Sympathy
A NURSE who had been only a few weeks in the hospital...
Often inflammation occurs in the centre of, or beneath, a mass...
Take the A. D. current, medium force, in all forms of the dis...
Diet For The Acutely Ill
The acutely ill person experiences occasional attacks of dist...
Factors Increasing The Blood Pressure
With normal heart and arteries, exertion and exercise should ...
Benign Growths Primary In The Tracheobronchial Tree
Extension of papillomata from the larynx into the cervical tr...
Chlorosis Green Sickness
This is a disease mostly or entirely peculiar to young women ...
Bronchoscopy In Diseases Of The Trachea And Bronchi
The indications for bronchoscopy in disease are becoming inc...
Unsuccessful Bronchoscopy For Foreign Bodies
The limitations of bronchoscopic removal of foreign bodies ar...
Symptoms Of Gastric Foreign Body
Foreign body in the stomach ordinarily produces no symptoms. ...
Ancient Medical Prescriptions
From early times it was a universal custom to place at the ...
1 Is Water Applicable In All Typhoid Cases?
The question has been raised, whether in typhoid cases, and i...
It has been estimated that 70 per cent of stenoses of the es...
Weight Loss By Fasting
Loss of weight indicates, almost guarantees, that detoxificat...
AS far as we make circumstances guides and not limitations, t...
Colds Consumption And Pneumonia
Disease Germs. In all foul air there are scores of different ...
Diseases Of The Esophagus
The more frequent causes of the one common symptom of esophag...
Inspection Of The Party Wall In Cases Of Suspected Laryngeal Malignancy
When taking a specimen the party wall should be inspected by...
Practice On The Dog
Having mastered the technic of introduction on the cadaver a...
is small pox modified by vaccination. It is to be treated as ...
Category: DIRECT LARYNGOSCOPY IN DISEASES OF THE LARYNX
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
Radium and the therapeutic roentgenray are today our
only effective means of retarding the progress of esophageal malignant
neoplasms. No permanent cures have been reported, but marked temporary
improvement in the swallowing function and prolongation of life have
been repeatedly observed. The combination of radium treatment applied
within the esophageal lumen and the therapeutic roentgenray through
the chest wall, has retarded the progress of some cases.
The dosage of radium or the therapeutic ray must be determined by the
radiologist for the particular individual case; its method of
application should be decided by consultation of the radiologist and
the endoscopist. Two fundamental points are to be considered, however.
The radium capsule, if applied within the esophagus, should be so
screened that the soft, irritating, beta rays, and the secondary rays,
are both filtered out to prevent sloughing of the esophageal mucosa.
The dose should be large enough to have a lethal effect upon the
cancer cells at the periphery of the growth as well as in the center.
If the dose be insufficient, development of the cells at the outside
of the growth is stimulated rather than inhibited. It is essential
that the radium capsule be accurately placed in the center of the
malignant strictured area and this can be done only by visual control
through the esophagoscope (Fig. 95)
Drs. Henry K. Pancoast, George E. Pfahler and William S. Newcomet have
obtained very satisfactory palliative effects from the use of radium
in esophageal cancer.
Next: Direct Laryngoscopy In Diseases Of The Larynx