London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
London County Council 1934
[Report of the Medical Officer of Health for London County Council]
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The following is an analysis of cases sent to the centre during 1934 :— Carcinoma—
| Cervix uteri | 88 | |
| Corpus uter | 8 | |
| Vagina | 4 | |
| Vulva | 1 | |
| Carcinoma of rectum | 1 | |
| Recurrence of cervix after radium elsewhere | 1 | |
| Recurrence of cervix after operation | 1 | |
| Recurrence of body after operation | 1 | |
| Sarcoma of vagina | 1 | |
| — | 106 | |
| Not diagnosed as carcinoma— | ||
| Menopausal haemorrhage | 3 | |
| Senile endometritis | 2 | |
| Incomplete abortion | 2 | |
| Fibroids | 2 | |
| Vaginitis | 1 | |
| Menorrhagia | 1 | |
| Delayed menopause | 1 | |
| Pelvic cellulitis | 1 | |
| Senile pyometra | 1 | |
| Fibrosis uteri | 1 | |
| Chronic cervicitis | 1 | |
| Undiagnosed | 13 | |
| — | 19 | |
| Total number of patients sent to the centre | 125 |
The following statistical data are set out according to the rules drawn up by
the Radiological Sub-Commission of the League of Nations.
Cases admitted up to February, 1935, were treated by radium alone. From that
time, radium treatment has been followed by a course of X-rays, details of which
are given to date. For statistical purposes the cases treated must now be divided
into—
(a) Those completely treated by radium and X-rays.
(b) Those completely treated by radium or X-rays only.
(c) Those incompletely treated by one or both methods.
During the period under review, 88 cases of carcinoma of the cervix were admitted,
and were grouped as follows :—Stage 1, 6 ; stage 2, 18 ; stage 3, 34 ; stage
4, 30. Of these, 77 were accepted for treatment: stage 1, 6 ; stage 2, 18 ; stage 3,
32; stage 4, 21. Of these, 47 were completely treated by radium and X-rays :
stage 1,4; stage 2, 12 ; stage 3, 22 ; stage 4, 9. In addition, one stage 1 case was
treated by radical operation and X-rays.
Ten were completely treated by radium only : stage 2, 5 ; stage 3, 3 ; stage
4, 2. Six were completely treated by X-rays only : stage 3, 4 ; stage 4, 2. Thirteen
were incompletely treated by one or both methods : stage 1,1; stage 2, 1 ; stage
3, 3 ; stage 4, 8. Eleven cases were not treated : stage 3, 2 ; stage 4, 9.
The 10 cases completely treated by radium alone did not receive a full course
of X-rays for the following reasons : too ill for X-rays, 5 ; refused, 4 ; discharged
before commencement of routine X-ray treatment, 1. The 6 cases treated by X-ray
alone did not receive a full course of radium treatment for the following reasons :
too ill, 3 ; refused, 2 ; died, 1. Treatment was not completed in the 13 cases for
the following reasons : too ill, 5 ; died, 4 ; refused, 4 ; and the 11 cases were not
treated for the following reasons : too advanced, 9 ; refused treatment, 2.
Eight cases of carcinoma of body of uterus were admitted : completely treated,
5 ; too ill for completion, 2 ; unfit for any treatment, 1.
Four cases of carcinoma of vagina were admitted : completely treated by