Excerpt from Medical Record, Vol. 77: A Weekly Journal of Medicine and Surgery; January 1, 1910-June 25, 1910

In June, 1909, he was brought to me by Dr. New ton of Montclair. I found a large, expanding tumor four inches wide by six long, from the top of the sternum downward. It was soft, elastic, and crackled in a small part of its surface under finger pressure, though two-thirds Of its surface was soft.

I made a slight cut in the skin at two places and applied a small steel cylinder with saw - teeth edge, with which I punched out a cylinder of the tumor. The instrument went through the fibrous capsule, replacing the bone, and sank toward the ster num three inches before reaching the inner wall. Thus the sternum had been expanded by the rapidly growing sarcoma from a normal half-inch to three inches thick, and all bone was wanting except some trifling surface pieces, like eggshell.

Into these punched - out holes and others made later, I sank several strong radium tubes and left them in situ, on three occasions, total 28 hours, in June. The pathological report was Giant Cell Sar coma. At each withdrawal of the punch blood spouted out almost as if from an aneurysm.

I did not see the patient from June to October four months. He had had a good summer. The tumors were reduced in size, and had a uniformly harder surface and no crackling. Again I punched this growth to introduce my radium and found it paler, firmer, and bleeding but little. The depth was now two inches where it had been three. The deep aspect of the tumor wall was also harder, as in front.

In October I gave it, by design, a very severe radiumization. At three points introduced a tube Of 100 mgr. Curie), and two of 20 mgr. Pure German, each. These I left in situ 53 hours; (the longest exposure I had ever ventured) and ad vised no more treatment for six months.

Six weeks have passed, and we see to-night a flattening of the lower half, almost normal, and a slight dermatitis which has come from the outward radiations, to the under side of the skin.

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