Low-Beer suggests that a tumor cell having higher activity ingests more
32P than normal cells. Ochiai and his associates in our country reported that
32P could be utilized for deciding the grade of bladder tumors.
This study was executed in the hypothesis that
32P might be used for determining the type and stage of bladder tumors. A special Geiger-Müller counter tube with a fine and sensitive window, was made for this study by the Toshiba Laboratory. This tube, 4cm. in length and 5mm. in diameter, has a 1mm.×2mm. window near the tip. Beta rays can be detected only through this window (fig. 1).
Within 48 hours, the greater parts of administered
32P in blood and urine are eliminated to the extent that their radioactivity can be ignored. Na
2H
32PO
4, therefore, was injected intramuscularly in a dose of 10-20μc/kg. about 48 hours before operation. Radioactivity of several parts of the bladder was measured during or after the operation using the above-mentioned tube and also, that of the samples burnt to ashes was counted, using an ordinary G-M tube. Radioactivity of seven papillomas, nine papillary carcinomas, five squamous cell carcinomas and an adenocarcinoma of the bladder was measured.
Generally speaking, in counting from the inside of the bladder, the ratio of the radioactivity of the tumor to that of the normal part is at most 2 in benign tumors, and more than 2 in malignant tumors. On counting from the outside of the bladder, it is more than 1.5 when the tumor invades the deeper layer of the muscular coat.
When there exists an inflammatory process in the bladder, higher counts are obtained. But in counting the samples burnt to ashes, we could not find any difference in proportion to malignancy. This may be due to the fact that when the samples were burnt to ashes, some of the recognized substances of less radioactivity were mixed in the samples.
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