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F BUSCHKE

Publications and source records attributed to F BUSCHKE.

At least 19 recordsLinked to original sources

Nasopharyngeal cancer. Five-year results of treatment with intracavitary cobalt-60.

Seven of twenty-two patients treated with intracavitary Co(60) therapy for nasopharyngeal neoplasms remained controlled for more than five years.No patient treated with intracavitary Co(60) therapy alone has remained alive. Of the seven surviving patients, four received external irradiation in conjunction with intracavitary therapy in doses which in themselves may well have controlled the disease, and the contribution of the intracavitary therapy cannot be assessed. Of ten patients treated for disease, recurrent or uncontrolled, following external irradiation, intracavitary therapy was effective for control of the disease for five years in two patients. One of these patients has no demonstrable disease ten years after the last treatment. The other is alive but with recurrent local disease nine years and eight months after the last treatment. Analysis of the material agreed with the long established experience that intracavitary irradiation for nasopharyngeal tumors is occasionally helpful in the treatment of limited mucosal recurrence or as an adjunct complementing medium-volt external irradiation. For the definitive treatment of untreated nasopharyngeal neoplasms, reliance in control is placed on through external irradiation of nasopharynx and regional lymphatics.

Aged↗

Roentgen therapy of intrathoracic neoplasms.

THE RESULTS OF TREATMENT OF CARCINOMA OF THE ESOPHAGUS, WHETHER BY OPERATION OR RADIATION, ARE EQUALLY POOR: At best 3 to 5 per cent 5-year survival in larger series. Likewise, the palliative results as judged from short-term survival after 1, 2, and 3 years are approximately the same. The cause of failure is usually that metastatic deposits are already present in the paraesophageal and mediastinal nodes by the time diagnosis is made. Control of these nodes is impossible either by surgical or by radiation therapy, but in about half of the patients adequate irradiation therapy will be palliative and will satisfactorily re-establish esophageal function, but entail less morbidity than surgical operation. Carcinoma of the lung yields little to radiotherapy. Cure is rare, but specific aims of palliation may be achieved. Anaplastic tumors can be controlled locally by irradiation, but they metastasize so rapidly that the chief aim of radiotherapy is to relieve pulmonary embarrassment due to rapid enlargement of mediastinal lymph nodes. Epidermoid carcinomas and adenocarcinomas may be treated at points of bronchial obstruction by intense irradiation, but diffuse thoracic pain is better palliated by sympathetic nerve block.

Adenocarcinoma↗