The frequency and low operability of cancer of the stomach make improved methods of irradiation desirable. The application of radium immediately to the growth has definite advantages over external roentgen-ray therapy alone.
Pinch1 has applied radium to the interior of the carcinomatous stomach by having the patient swallow a radium tube on a string. The position is observed by the roentgenoscope, and the radium may be moved by pulling on the string. From this, he has obtained definite palliative results, in slowing the rate of growth, checking hemorrhage, and relieving pain.
With radium applied in this way, the surface of the tumor bears the brunt of the exposure. Adjacent sensitive organs are protected by the rapid decrease in the intensity of irradiation, with distance. This permits heavy caustic irradiation, sufficient to influence highly resistant scirrhous carcinomas and adenocarcinomas. Roentgen-ray treatment could not be carried to this intensity because of
MENEES TO. INTRAGASTRIC RADIUM TREATMENT OF CARCINOMA OF THE STOMACH. JAMA. 1926;86(25):1904–1905. doi:10.1001/jama.1926.02670510026012
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