Harry Grabstald

Retropubic implantation of iodine 125 in the treatment of prostatic cancer

SummaryA technique of retropubic implantation of 125I seeds in selected patients with prostatic cancer has been presented. The method is technically simple and it has permitted delivery of potentially effective irradiation to the prostate, constituted a 1-step treatment, required a relatively short hospitalization, had no associated mortality and only minimal morbidity, produced only minimal disturbances in urinary, rectal and sexual functions, resulted in more accurate tumor staging and produced an encouraging degree of local regression in clinically evident prostatic lesions during a brief period of followup.

MALIGNANT TUMORS OF THE SPERMATIC CORD

The present study deals with 11 malignant tumors arising from the spermatic cord. Ten of the tumors were of mesoblastic origin and one was a teratoma. Local recurrence appeared to be a common problem and was attributed to inadequate removal of the primary tumor at biopsy. Distant metastasis occurred only in the late stages of disease after local recurrence could not be controlled or when retroperitoneal disease had become extensive. Radical orchiectomy followed by retroperitoneal node dissection was considered the treatment of choice for this disease.

Diagnosis and Treatment of Tumors of the Urinary Bladder

The diagnosis of bladder tumor should be made with ease and consistency. Certain tumors are virtually 100 per cent curable, but results of surgical therapy of more advanced neoplasms are disappointing and justify exploration of other therapeutic modalities. Gross hematuria is the first definite sign of tumor in 75 per cent of cases. Either gross or microscopic hematuria demands prompt and thorough investigation during the bleeding episode.