cancer among veterans, early diagnosis Presented by The Administrator of Veterans’ Affairs. Produced by Division of Motion Pictures, Department of the Interior. Under the direction of Veterans Administration Exhibits Committee. Photomicrography by L. H. Prince, M. D., Hines, Illinois. Photography by Walter K. Scott. Narrative by. Max Cutler, M. D., Consultant, Tumor ,.
Veterans administration facility, hines, illinois. Narrator: Under the direction of the Administrator of Veterans’ Affairs, the Veterans Administration is making every effort towards furnishing exservicemen with the benefits of early diagnosis and the prompt and skillful treatment of cancer. This parent at Hines, Illinois provides more than 400 beds for tumor cases and serves as a training ground for physicians selected to specialize in the diagnosis and treatment.
Of this disease. Leaving the beautiful and spacious grounds, we enter the where the Tumor Board is in session and hear the voice of Max Cutler, consultant in tumors at the Hines facility, who will present his subject, the early diagnosis of cancer. Cutler. Max Cutler: Early diagnosis is the keystone to cancer control. An accurate diagnosis is the basis of correct and effective treatment.
All the progress that has been realized in the surgical and radiation treatment of cancer is of no avail unless the lesion is recognized early and treated correctly before it has become disseminated. Max Cutler: Thus early diagnosis resulting in the elimination of precancerous conditions and in the cure of early cancer is by far the most important single factor in the curability of this disease.
The external cancers can be detected in their very early stages and are both presentable and curable. The internal cancers unfortunately present a much more complex problem. And although much can be accomplished by careful attention to early diagnosis, real progress in this group awaits the discovery of a diagnostic test much more delicate then is now available. We will now consider three forms of cancer which pass through definite precancerous stages and are, therefore, not only curable but preventable.
Cancer of the mouth, preceded by leukoplakia; cancer of the skin preceded by hyperkeratosis; and melanoma preceded by apparently innocent moles. We begin with leukoplakia, one of our most important precancerous conditions. This lesion is ten times as common in men as in women. Hence, 90 percent of cancers of the mouth occur in men. The well known relation between tobacco and leukoplakia has given rise to the term, Smoker’s.
Patch. Here you see a leukoplakia of the mucous membrane of the cheek in which smoking is the etiological factor. An underlying susceptibility of the tissues to nicotine must be present for leukoplakia to develop. In susceptible individuals, it is probable that infinitesimal amounts of the stimulating chemical agent can result in this condition.
The relationship between leukoplakia and cancer is wellillustrated in this case, where you see an intense radiation reaction after treatment of a cancer of the right cheek, which developed in a patch of leukoplakia. Leukoplakia often occurs at the site of artificial dentures as in this case. Here we see a diffuse leukoplakia of the roof of the mouth in a patient whose mucous membrane is evidently susceptible to chronic irritation and to nicotine.