Page 15 |
Previous | 168 of 225 | Next |
|
|
small (250x250 max)
medium (500x500 max)
Large
Extra Large
large ( > 500x500)
Full Resolution
|
Loading content ...
10 The Health Bulletin coma does not. The growth is smooth, dark red, bleeds easily, and often ulcerates early. In the later stages the disease makes extensive advancement in all directions, involving the imix)rt-ant structures of the neck, and making the outlook hopeless. Whatever prospect of successful treatment there may be lies in the early removal of the tumor or efficient x-ray or radium treatment. Carcinoma of the tonsil is more frequent than sarcoma, and occurs like most forms of cancer, in middle and advanced life. The earliest symptoms, often very obscure, are pain in the region of the tonsil, congestion, swelling, and discharge from the tonsillar crypts. The surface is nodular and not inclined to bleed. Later, there is increasing pain, radiating to the ear and aggravated by the act of swallowing. There is fullness in the throat, and a thick voice. The progress is usually rapid. Ulceration occurs late, but the glands are involved early. Anemia follows with a swelling of the larynx to such an extent that it may be necessary to admit air to the lungs by inserting a tube into the trachea. Carcinoma of the tonsil has been successfully treated by radical surgical removal. Half-way measures are worse than useless. At the best the results of treatment are usually only palliative. Of course, the smaller and less active the grow^th, and the earlier it is recognized, the better the outlook. Radium and x-ray treatment may prolong life but almost never cure. CANCER OF THE STOMACH The stomach is the seat of this disease in nearly a quarter of all the fatal cases of cancer. This proportion is indicated by the figures of the Census Bureau for 1917 for the Registration Area of the United States. This form of the disease is certainly not diminishing but the death rate should be cut down by early diagnosis and operative treatment. The census re-ix)rt further shows that deaths from cancer of the stomach are in the pro- portion of 19.3 per 100,000 population. It is a little more common in men than in women and occurs with increasing frequency with advancing years. Its onset is insidious but nearly always there are warnings which, if heeded, would save many a life at the period of its greatest usefulness. The stomach is a muscular contracting bag lined with mucous membrane. When it contains food it is in continual motion. If the food consists of hard lumps instead of soft, well masticated material there is bruising of the lining of the stomach and this bruising is most frequent at the outlet where the muscular walls of the organ are in more violent motion. As a matter of fact, most cancers of the stomach occur near the outlet. A stomach previously rendered sensitive by irritating substances has, in the very nature of things, a lowered resistance. Examples of such substances are alcohol, highly seasoned food, and tobacco. The excessive use of these agents may be accompanied by retardation of digestion, and by the secretion of too much acid. It is therefore thought that any condition which predisposes to ulcer of the stomach may be a forerunner of cancer. The symptoms of ulcer and those of cancer are often similar. There is distress after eating, at times amounting to actual pain. A change in the desire for certain foods, such as a distaste for meat, is not uncommon. Belching, nausea and vomiting occur later. In the case of ulcer the vomiting of blood is more common than in cancer but this sign is not rare in the later stages of cancer. The general health suffers, there is loss of weight and sallowness of the complexion. There is no visible lump or one which can be felt from the outside, even by a skilful physician, until the disease is far advanced. When the growth is at the outlet of the stomach, the symptoms of distress, pain and vomiting show themselves earlier than when the disease is remote from the outlet. Cancer of the
Object Description
Rating | |
Fixed Title * | NCHH-04: The Health Bulletin [1914-1973] |
Document Title | The Health Bulletin [1914-1973] |
Subject Topical | Public health -- North Carolina -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina -- Periodicals. |
Contributor | North Carolina. State Board of Health. |
Publisher | Raleigh, North Carolina State Board of Health. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1921 |
Identifier | NCHH-04-036 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 36 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-04/nchh-04-036.pdf |
Document Sort | all; group-b; nchh-04 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-04-036 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-04 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1296443 |
Description
Fixed Title * | Page 15 |
Document Title | The Health Bulletin [1914-1973] |
Subject Topical | Public health -- North Carolina -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina -- Periodicals. |
Contributor | North Carolina. State Board of Health. |
Publisher | Raleigh, North Carolina State Board of Health. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1921 |
Identifier | NCHH-04-036-0173 |
Form General | Periodicals |
Page Type | all; report/review |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | healthbulletinse36nort_0173.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 36 |
Issue Number | 10 |
Page Number | 15 |
Health Discipline | Medicine |
Full Text | 10 The Health Bulletin coma does not. The growth is smooth, dark red, bleeds easily, and often ulcerates early. In the later stages the disease makes extensive advancement in all directions, involving the imix)rt-ant structures of the neck, and making the outlook hopeless. Whatever prospect of successful treatment there may be lies in the early removal of the tumor or efficient x-ray or radium treatment. Carcinoma of the tonsil is more frequent than sarcoma, and occurs like most forms of cancer, in middle and advanced life. The earliest symptoms, often very obscure, are pain in the region of the tonsil, congestion, swelling, and discharge from the tonsillar crypts. The surface is nodular and not inclined to bleed. Later, there is increasing pain, radiating to the ear and aggravated by the act of swallowing. There is fullness in the throat, and a thick voice. The progress is usually rapid. Ulceration occurs late, but the glands are involved early. Anemia follows with a swelling of the larynx to such an extent that it may be necessary to admit air to the lungs by inserting a tube into the trachea. Carcinoma of the tonsil has been successfully treated by radical surgical removal. Half-way measures are worse than useless. At the best the results of treatment are usually only palliative. Of course, the smaller and less active the grow^th, and the earlier it is recognized, the better the outlook. Radium and x-ray treatment may prolong life but almost never cure. CANCER OF THE STOMACH The stomach is the seat of this disease in nearly a quarter of all the fatal cases of cancer. This proportion is indicated by the figures of the Census Bureau for 1917 for the Registration Area of the United States. This form of the disease is certainly not diminishing but the death rate should be cut down by early diagnosis and operative treatment. The census re-ix)rt further shows that deaths from cancer of the stomach are in the pro- portion of 19.3 per 100,000 population. It is a little more common in men than in women and occurs with increasing frequency with advancing years. Its onset is insidious but nearly always there are warnings which, if heeded, would save many a life at the period of its greatest usefulness. The stomach is a muscular contracting bag lined with mucous membrane. When it contains food it is in continual motion. If the food consists of hard lumps instead of soft, well masticated material there is bruising of the lining of the stomach and this bruising is most frequent at the outlet where the muscular walls of the organ are in more violent motion. As a matter of fact, most cancers of the stomach occur near the outlet. A stomach previously rendered sensitive by irritating substances has, in the very nature of things, a lowered resistance. Examples of such substances are alcohol, highly seasoned food, and tobacco. The excessive use of these agents may be accompanied by retardation of digestion, and by the secretion of too much acid. It is therefore thought that any condition which predisposes to ulcer of the stomach may be a forerunner of cancer. The symptoms of ulcer and those of cancer are often similar. There is distress after eating, at times amounting to actual pain. A change in the desire for certain foods, such as a distaste for meat, is not uncommon. Belching, nausea and vomiting occur later. In the case of ulcer the vomiting of blood is more common than in cancer but this sign is not rare in the later stages of cancer. The general health suffers, there is loss of weight and sallowness of the complexion. There is no visible lump or one which can be felt from the outside, even by a skilful physician, until the disease is far advanced. When the growth is at the outlet of the stomach, the symptoms of distress, pain and vomiting show themselves earlier than when the disease is remote from the outlet. Cancer of the |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-04/nchh-04-036.pdf |
Document Sort | all; group-b; nchh-04 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-04-036 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-04 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1296443 |
Tags
Comments
Post a Comment for Page 15