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Related post: breeding establishments carcinoma occurs endemic-
ally (Gaylord and Clowes, and others). (12) The
prevention of transmission by contagion through
sterilization of cages in which infected rats had been
kept (Gaylord and Clowes) is highly suggestive.
(13) Loeb calls attention to the endemic occurrence
of carcinoma Where Can I Get Amoxicillin of the inner angle of the eye Amoxicillin Price among
cattle on a ranch in Wyoming, while neighboring
ranches were practically free from the disease. (14)
Epidemics of carcinoma in certain towns and the
peculiar distribution of cancerous cases in certain
cities. (15) So called "cancer houses" for human
beings have probably been proved to be a source of
infection (Loeb, Borrel). (16) The combination of
the characteristic pathological changes, including
metastases and the clinical symptoms and course,
points strongly to the infectious nature of carcino-
ma. (17) Autolysis of a recurrent carcinomatous
nodule of the breast (Simon), and improvement in
general health and strength from the use of injec-
tions of anticancer serum in inoperable carcinoma of
the breast, pancreas, and pylorus (v. Leyden).
The foregoing results of observations by different
competent investigators, who have labored with sus-
tained earnestness of purpose, strikingly Prescription Amoxicillin confirm Order Amoxicillin the
hypothesis here promulgated. There are a number
of diseases which are universally regarded as infec-
tious because the contagion is known to be there,
e. g., measles, .smallpox, but the specific germs have
not as yet been isolated. Moreover, the profession
now universally recognizes the existence of predis-
posing factors in Amoxicillin Rx the causation of caTcinoma. These
are previous injury or ulcerations or abrasions of the
skin Purchase Amoxicillin and mucous Cost Amoxicillin surfaces.
In this connection the Cheap Amoxicillin views of Mayo Robson con-
cerning the influence of such cutaneous and mucous
lesions as precancerous states are significant. He
writes : "In certain situations precancerous condi-
tions can be readily recognized ; this especially ap-
plies to the tongue, lips, larynx, uterus, and the skin,
suggesting strongly that cancer is a new implanta-
tion on a prepared ground ; probably, if we could
only find it, every cancer, whether external or in-
ternal, follows on a precancerous Buy Online Amoxicillin condition, such as
cancer of the gallbladder on ulceration produced bv
gallstones, cancer of the stomach Mg Amoxicillin on chronic gastric
ulcer, epithelioma of the penis on irritation under a
phimosis, cancer of the bladder on papilloma or nn
ulcers due to calculi, and cancer of the rectum and
colon on stercoral or other ulcers" (_').
Surely, the field of investigation under discussion
is fertile and promising for tlie future and one that
should stir the energies of Generic Amoxicillin all investigators in search
of truth, of all things upon Amoxicillin Discount earth the most precious.
Incidentally, it might be justly argued that the facts
transmitted to us as the outcome of the prolonged
studies of the observers cited above indicate the ne-
cessity for the enforcement of isolation and sterili-
zation in the treatment of human cancer cases.
EARLY DIAGNOSIS OF GASTRIC CARCINOMA.
The greatest strides made in recent times in the
recognition of early cases of gastric carcinoma have
been limited to the laboratory and surgical phases of
the subject. The clinical significance of the labora-
tory findings, however, differs according to different
observers ; they Amoxicillin Generic are not to Amoxicillin Prescription be isolated from the symp-
toms and course of the disease, but judiciously bal-
anced and compared with the clinical Price Amoxicillin characteristics
and the Online Amoxicillin steady progression with occasional slight
remissions of the disease. Chase says : "Those
who suppose that a positive or negative diagnosis
may be made on the strength of the chemical exam- Rx Amoxicillin
ination of the gastric juice, should at once disabuse
themselves of this idea."
The grouping of features which renders a given
case suspicious is not constant. The closest scrutiny
of all the symptoms, signs, and laboratory findings,
as well as the most judicious balancing of the data
entering into the previous history by an eminently
skilful diagnostician, is an absolute necessity before
a probable diagnosis can be reached.
The general practitioner who Discount Amoxicillin fails to avail him-
self of an expert medical opinion in cases in which
he has the slightest reason to suspect this disease, is
scarcely alive to his responsibilities and obligations
to his patients. It is deplorable, but nevertheless
true, that carcinoma cases are too often permitted
to reach an advanced stage before expert services,
usually surgical, are sought after. Touching the in-
frequency of early diagnosis, a lack of thorough, sys-
tematic study at short intervals is also a factor Amoxicillin Online that
plays an influential part. The practitioner should
recognize an added necessity for early diagnosis ;
to wit, while radical extirpation or partial gastrec- Amoxicillin Cost
tomy is advisable in early cases and offers promise
of more or less aid, late operations, too often under-
taken, almost invariably serve to hasten death.
Much has been said in recent medical literature, not
without cause, about useless gastric surgery; it is
in a measure, at least, the result of too little time
being allowed for carrying out medical means of
diagnosis. In this connection Stone (3) pertinently
remarks : "There probably will continue to be found
nnich wisdom in the old adage, which refers to
making haste slowly, for otherwise surgery will
suffer the reaction which always accompanies the
less careful diagnosis of cases in the enthusiasm of
prospective cure."
Regarding the anamnesis, it is tcj be recollected
that there is often a discoverable clement of rela-
tionship existing between gastric carcinoma and
ulcer. If there is a clear history of previous ulcer,
this fact bears tremendously U]5on the case, and
should tend to strengthen the slightest ground for
suspicion in the mind of the examiner. The so
called ])rtcrMicerous stage is now easily recognized
ANDERS: CARCINOMA.
967

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