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Lilly

WILLIAM LILLY, a famous English astrologer of yeoman ancestry...

Treatment

In this rapid high tension age the physician should be as ene...

Diet

The diet of the sick should he nutricious, but at all times s...

Earache - Otalgia

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The Central Point Of The Circuit

The central point of the circuit--that point which divides be...

Locomotor Ataxia

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Eyes Accidents To

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Fever Influenza

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Polar Antagonism

When the conducting cords are of equal length, as commonly th...

Boils

The following treatment will be found effective to heal less s...

Benign Growths Primary In The Tracheobronchial Tree

Extension of papillomata from the larynx into the cervical tr...

Habit And Nervous Strain

PEOPLE form habits which cause nervous strain. When t...

Mammary Abscess

(_Ague in the breast--Inflamed breast_.) This is a disease...

Painful Menstruation

Elsie was twenty. She came to see me because I had helped Els...

To Prevent Cholera

_Camphor_ (_pellets medicated_ with the pure tincture) _Verat...

Noise And Disease

Perhaps nothing shows more the lack of human feeling in many p...

Necessity Of Allaying The Heat

The packs and baths should be continued, even when the patien...

The Malignant Forms Of Scarlet-fever

are caused by the character of the epidemy, but, perhaps, mor...

The Relative Position Of The Deeper Organs Of The Thorax And Those Of The Abdomen

The size or capacity of the thorax in relation to that of the...

No Cutting Short Of The Process Of Scarlatina The Morbid Poison Must Be Drawn To The Skin As Soon As Possible

Scarlet-fever is a disease, which cannot be cut short. Any at...



Radiotherapy





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

Previous: Treatment



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