By far the most serious limitation in the diagnosis and treatment pathologic lesions springs from the fact that must depend almost entirely our human eyes and hands.
These are very gross instruments and, even with very effectne therapeutic agents, can never hope accomplish the cure more than a certain proportion the malignant diseases may undertake treat.
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Those who have had experience with pathologic conditions found at necropsy know but too well the uncertainties and deceptions our methods physical diagnosis. Some consolation may derived from the fact that the radiologist's limitations in this respect are shared equally the surgeon and the internist.
It a very common occurrence find that a malignant lesion supposedly limited a certain organ or tissue had actually become much more widely disseminated either direct extension, metastasis, or both.
The only way have combating this limitation impressing the public and members the profession in general the extreme importance early diagnosis and treat often makes an early diagnosis in the first instance difficult.
It not unusual told patients that when they essay writing service review first consulted a physician concerning a lesion which appears have been an early manifestation a malignant process they were told that was no significance and that t'.iey should promptly forget Such instances medical personal statement writing service influence conclude that physicians are as much in need education as the public in this most important matter. TioNs FOR Radium and Roentgen Ray Therapy Our first consideration must the diagnosis because, if are utilize radium or roentgen ray therapy with any degree success, must know the nature the lesion wish treat. Not only should know the type malignancy, but as many as possible its salient features, such as the predominating best dissertation writing services type cell, and reaction factors. It not always possible, nor in some cases necessarily advisable, obtain such complete information.
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Judgment should applied the individual case. The lac a definite diagnosis constitutes a fundamental contra-indication such tieatment.
The other important contra-indications need help with coursework are. The bad general condition the patient, making impossible or dangerous administer really adequate treatment. Tumors complicated infection.
This condition not infrequently encountered, especially in association with carcinoma the uterus, but occasionally also in other locations such as the breast. In such cases drainage and other general measures must instituted before radiation. Lack suitable apparatus, or the knowledge requisite for its propei use. We occasionally still hear physicians attempting treat malignant conditions with such facilities as are provided an ordinary portable when are dealing with a fairly small lesion or tumor at or near the surface the body or reasonably accessible from the outside and the extent which can outlined with a fair degreen accuracy. Its ideal indication IS in conditions in which possible introduce the agent into the substance the lesion in such a manner as deliver every part fairly uniform radiation in adequate dosage. At the present time radium, alone or in conjunction with roentgen rays, indicated and should used preferably the needling method in cases solitary glandular carcinoma or sarcoma limited size and well defined extent, especially or paraphrasing worksheets 5th grade near the surface the body and in cases solitary or discrete, superficial, malignant gland or cutaneous metastasis. Malignant conditions in cavities accessible from the bcdy surface uterus, vagina, rectum, bladder, research paper writing help mouth, nose, larynx and esophagus should preferably treated with radium or its emanation, usually in conjunction with external roentgenization. In cancer the uter ine cervix, for instance, radium achieves marvelous results in many cases because the element can introduced into the cervical canal and there surrounded all sides the neoplastic tissue. From our present knowledge the method employing therapy radiation the best advantage in such conditions would seem lie unquestionably in the combination radium internally and The Y rays radium are more penetrating than the roentgen rays used at present for therapeutic purposes. Experimentally, roentgen rays have been produced with wave-lengths as short as some the fays, and these may available before long.
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