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Full-Text Articles in Medicine and Health Sciences
Ovarian Cancer: Diagnosis And Treatment, Hans L. Kottmeier
Ovarian Cancer: Diagnosis And Treatment, Hans L. Kottmeier
MCV/Q, Medical College of Virginia Quarterly
I have made it my task with this paper to outline principles for the treatment of ovarian carcinoma. Emphasis has been laid on pathology and on anatomical extent of the growth. The extension of the tumor should be outlined in detail at clinical examination and at laparotomy. Excision of the carcinoma should be performed to the greatest possible extent. Every effort should be made to keep the capsule intact. In cases of serous and endometrioid carcinoma fixed to surrounding tissue by firm adhesions, it may be appropriate to restrict the operation to an explorative laparatomy and to operate on the …
Complications Of X-Irradiation Therapy Of Pelvic Malignancy, Michael R. Deddish
Complications Of X-Irradiation Therapy Of Pelvic Malignancy, Michael R. Deddish
MCV/Q, Medical College of Virginia Quarterly
In conclusion, a variety of sequelae that may follow x-radiation therapy of the lower abdomen and pelvis have been described. With the increasing use of supervoltage therapy and treatment with higher dosages, we can expect to see an increase in the number of injuries to internal organs. Surgical intervention after vigorous radiotherapy will be accompanied by more, and serious, complications. Careful planning of radiotherapy and regular observation during treatment by both the therapist and surgeon will do much to keep the clinician alert to the symptoms of overdosage.
Total Treatment Of Endometriosis, Clayton T. Beecham
Total Treatment Of Endometriosis, Clayton T. Beecham
MCV/Q, Medical College of Virginia Quarterly
Any discussion of endometriosis would be incomplete without an acknowledgment of the exceptional contributions Joe Vincent Meigs made to our understanding of this clinical entity. From the time of our founding member’s first published paper (Meigs, 1922) until his death, he was a contributor to our understanding of this disease. It was Meigs, who in his first publication pointed out the “atrophy” of endometriosis that occurred during pregnancy and lactation. In spite of this exceedingly important observation, 44 years ago, endometriosis was often treated like a malignant lesion. However, clinical understanding has led to the increasing use of conservative measures. …
On The Concept Of Radicalism In Surgery For Cervical Cancer, Nicholas C. Louros
On The Concept Of Radicalism In Surgery For Cervical Cancer, Nicholas C. Louros
MCV/Q, Medical College of Virginia Quarterly
The idea of a radical operation for carcinoma of the cervix originated with Ries and Wertheim. The purpose of this operation, which was applied by Wertheim in 1901, is to remove not only the affected organ, but also the parametrial tissues. However, the limits of the dissection of the parametrium have never been defined with anatomical precision. As a result the extent of such a dissection is left entirely to the choice of the individual surgeon. The results of such procedures, therefore, become difficult to compare statistically. It is time, therefore, to define what is meant by the term "radical."
Continuing Experience In The Combination Of Radiotherapy And Surgery In The Treatment Of Uterine Cancer, John A. Stallworthy
Continuing Experience In The Combination Of Radiotherapy And Surgery In The Treatment Of Uterine Cancer, John A. Stallworthy
MCV/Q, Medical College of Virginia Quarterly
I will use two recent cases to illustrate the following four points: 1. That high doses of irradiation, though not a desirable prelude to surgery, are not an absolute contraindication. 2. That the final criterion of radiation response is not measured by exfoliative cytology, but by the length of time the patient lives without further evidence of tumour formation. 3. That planned combined therapy ab initio is less traumatic for both patient and surgeon than salvage surgery after failed irradiation. 4. That teamwork involving radiotherapist and surgeon is essential for success.
Surgical Treatment Or Irradiation Of Cervical Carcinoma, Werner Bickenbach
Surgical Treatment Or Irradiation Of Cervical Carcinoma, Werner Bickenbach
MCV/Q, Medical College of Virginia Quarterly
All in all, the various methods, surgical with or without lymphadenectomy and irradiation, including supervolt therapy, permit marked individualization according to the age of the patient, her general condition, her operability, and according to the histological findings. It may be said for all methods that the best results are still obtained in the early stages of carcinoma. By surgery as well as irradiation, 90% or more permanent cures may be achieved. This, in view of the nature of cancerous disease, is an important fact.
Urological Complications In Relation To The Treatment Of Cervical Cancer, Tassilo Antoine
Urological Complications In Relation To The Treatment Of Cervical Cancer, Tassilo Antoine
MCV/Q, Medical College of Virginia Quarterly
In summary, today as ever before it is our main task as physicians to cure the cancer; however, we must not forget that we have to fight all other causes of death of our patients. Among these primary causes are the urological complications which are all the worse because they are iatrogenic. We have to be aware that most of the urologic complications can be avoided or eliminated if we think about them. Our task is not achieved by killing the cancer and saving the life of the patient; this life must be rendered worthwhile too.
Results Of 600 Wertheim Operations For Cancer Of The Cervix, Otto Käser
Results Of 600 Wertheim Operations For Cancer Of The Cervix, Otto Käser
MCV/Q, Medical College of Virginia Quarterly
The 600 Wertheim cases are composed of three series; the first consisting of 405 cases (1950 to 1963) from Frankfurt under the chairmanship of Professor Naujoks; the second consisting of 85 cases (1953 to 1962) from St. Gall, Switzerland, where I was at the time head of the department; and the third consisting of 110 cases (1963-1965) from Frankfurt. In these 600 cases neither the technique nor the indications were identical. Before 1958, lymphadenectomy was not used in Frankfurt; however, since then it has been an essential part of the procedure, and has been used in all cases from St. …