Carcinoma of the cervix

358 Auer,

AMERICAN

E. S.:

Carcinoma

JOURNAL

of the

O&’ OBSTETRICS

Cervix,

AND

J. Missouri

M.

GYNECOLOGY

A. 32:

47, 1935.

Auer analyzes 136 cases of cancer of the cervix treated at a St. Louis Cancer Twenty-nine or 21.3 per cent were Hospital from January, 1927, to January, 1930. cured. A complete follow-up was obtained on all patients. The cervical malignancies were grouped according to the classification of the American College of Surgeons. Auer believes that the radical operation, either by vaginal or abdominal route, has a very definite place in the treatment of cervical cancer, provided its use be reserved for those patients in whom there is absolutely no extension of the disease laterally. Radiation, combined with conservative surgery, is the method of choice in borderline cases. A watchful waiting policy should never be adopted in suspicious cervical lesions. Radium treatment of this disease should be carried out only by those who are qualified. J. THORNWELL WITHERSPOON. Greenhill, J. P., and Schmitz, Herbert: of Alcohol for Pain Associated With Genitalia, J. A. M. A. 105: 406, 1936.

Intraspinal Malignant

(Subarachnoid) Conditions

Injections

of the Female

Twenty-seven subarachnoid injections of alcohol in 25 women suffering excruciating and persistent pain from advanced carcinoma of the genitalia were made. Relief lasting from two weeks to six months was attained in 24 out of 25 patients. For 21 of the injections 0.5 C.C. of 95 per cent alcohol was used and injected into the fourth lumbar interspace. The technic varies only slightly from that of the lumbar puncture and is surely much simpler than any operative procedure such as sympathectomy which the writers had recommended for the same purpose two years ago. GROVER LIESE.

Organotherapy Neumann,

II. 0.:

Treatment

With

Female

Sex

Hormones,

Med.

Klin.

32:

79,

1936. The author treated many women with female ‘sex hormones for a number of different gynecologic ailments. The results in cases of primary amenorrhea were not satisfactory. In secondary amenorrhea the author obtained encouraging results with a combination of estrogenic hormones and progest,in. The patients felt much better physically and mentally. However, in the prolonged cases of secondary amenorrhea, the results were not satisfactory. In many cases with weak and infrequent menstrual periods, favorable results were obtained with estrogenic substance. In cases of hypoplasia of the uterus there was a growth of both the body of the uterus and the endometrium. In seven cases of dysmenorrhea the pain was relieved by f ollicular hormones. Treatment in these cases had to be continued at least six months. Likewise benefit was observed in women with severe menopausal symptoms. The author was also able to help some women with ulcerations in the vagina and vulva and pruritus vulvae. Using corpus luteum hormone he was able to bring to a successful issue two cases of habitual abortion. J.

Westman, A.: Hormonal Therapy for Menstrual Reasons for It, Acta obst. et gynec. Scandinav.

Disturbances 15:

233,

P.

GREENHILL.

and the Theoretic

1935.

In the Upsala Clinic, a number of women with menstrual disturbances were treated with various hormones. In two out of three cases of primary amenorrhea, favorable results were obtained with prolan and estrogenic substance. In 17 cases