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• W2007407852 abstract "I AM purposely confining my remarks to carcinoma of the bladder, since it is well known that if neoplasms in other parts of the genito-urinary tract are diagnosed early enough, surgical removal will give a comparatively high incidence of cures. There are, of course, certain malignant tumors of the kidney which are so far advanced that radiation is the only possible method of treatment, and in these cases the ultimate outcome cannot compare with surgical treatment, since we are dealing with an entirely different group of patients. Always in malignant neoplasms of the kidney or the ureter the tumors are comparatively localized and there is a considerable interval before they break through into the surrounding structures. Until they have broken through, the operative procedure may extirpate them completely, except possibly in the case of hypernephromata, when the tumors have extended into the renal veins and caused early embolic metastases in the lung or bones. A case suspected of being this type of tumor should certainly have a thorough radiological investigation of the chest and bones before operative procedure. A true carcinoma of the kidney is a comparatively rare condition and is sometimes cured by surgery, but most of these cases come to radiation either primarily or postoperatively, since recurrences are rather common. I recall one case of true carcinoma of the kidney in a child about eight years of age that I was able to keep alive and comfortable for more than three years in spite of wide abdominal extension of the disease and pulmonary metastasis. In this case it was possible almost to complete a cure, but the disease recurred until the patient died. The papillomatous growths in the kidney are of considerable interest to the radiologist because they are so apt to cause transplants in the bladder, and I believe that the kidney should always be investigated in cases of papillomatous growths in the bladder. Papillary neoplasms in the urinary bladder are the most common form of neoplastic growth. Almost all neoplasms of the bladder may be found to have papillary types of growth, so that statistical studies in any clinic would lead us to believe that carcinoma of the bladder other than papillomatous, is almost as common as papillary carcinoma. As a matter of fact, it may be stated that epidermoid tumors of the bladder are quite rare, usually developing on leukoplakias, and that the papillary carcinomas are vastly in the majority. For a time I was somewhat confused in studying the clinical results of the treatment of bladder carcinomata, because I was of the opinion that I was dealing with at least two different types of neoplasms. I found that certain bladder neoplasms responded rather favorably to roentgen therapy, while on others I was unable to make any impression whatever." @default.
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• W2007407852 date "1930-11-01" @default.
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• W2007407852 title "Radiation Therapy of Tumors of the Genito-urinary Tract" @default.
• W2007407852 doi "https://doi.org/10.1148/15.5.542" @default.
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