Leslie L. Alexander

Association of thyroid carcinoma with Gardner's syndrome in siblings.

WE are documenting the records of two sisters with Gardners syndrome each of whom also had thyroid carcinoma. In view of the familial setting of their major illness, Gardners syndrome, and its us...

Para-Aortic Lymph Node Irradiation in Cervical Carcinoma

Cervical carcinoma metastatic to the para-aortic lymph nodes is generally considered incurable. Three of 6 patients with proved metastases are alive and well three to eleven years following irradiation. Para-aortic regions can be adequately treated with 6,000 rads in six weeks via a 360° rotational 60CO treatment plan. Extensive surgery immediately prior to radiotherapy contributed to complications in 1 patient. Of 5 who lived at least one year following irradiation, more distant metastases developed in 2. Over 85 per cent of patients with more distant metastases die within a year. Para-aortic metastases secondary to endometrial carcinoma may be treated similarly.

Metastases to palm, sole, nailbed, nose, face and scalp from unsuspected carcinoma of the lung.

A case is recorded in which bizarre metastases to the palm, sole, nailbed, nose, cheek and scalp were the first presenting signs of an unsuspected pulmonary carcinoma. Their unique appearance suggests that a precise phenomenon may be at work, the pathogenesis of which is still unknown. It has not been determined whether they are characteristic of a particular type of primary neoplasm. In the presence of unexplained skin malignancies, the possibility that they may be metastatic should be considered and a search for internal malignancy should be instituted.

Roentgen Visualization of Uterine Artery Calcification

Uterine artery calcification presents a recognizable roentgen pattern. Since the finding is not well known, four examples are presented in this communication. The phenomenon is more common in the elderly but may be observed in younger women. In every patient in whom we detected this calcification, arteriosclerotic changes in other arteries were roentgenographically demonstrable. The uterine artery is a branch of the anterior division of the internal iliac artery (hypogastric). It originates near the pelvic brim and is divided roughly into three portions. In its first part it courses downward along the lateral pelvic wall for about 4 em. The second portion traverses the broad ligament medially and slightly anteriorly to the side of the uterine body where it divides into superior and inferior branches to form the third portion. The ascending portion rises to the level of the junction of the uterine tube and body, giving off arcuate branches around the body as it rises. It then runs laterally to join with th...

Inoperable gastric lymphosarcoma mistaken for carcinoma: Response to radiation with twenty-year survival to date

With suitable treatment, the potential for long survival with gastric lymphoma is well-documented. However, since these tumors constitute only about 1–3% of gastric malignancies, they may occur only rarely in a particular radiologists experience. The present report of a remarkable therapeutic response is a reminder that the possibility of lymphosarcoma should be included in the differential diagnosis of every gastric neoplasm.

OPAQUE PORTAL RULER FOR COBALT THERAPY: WITH SPECIAL REFERENCE TO ITS USE WITH UTERINE CERVIX CARCINOMA

An opaque portal ruler for cobalt therapy is described and illustrated, with special reference to its use in cases of carcinoma of the uterine cervix