. The American journal of roentgenology, radium therapy and nuclear medicine . Fjg. I. Right .\km Showing Soft Tissue Tumor first by Saundby in 1889 as a case of acro-megah-, but the postmortem findings are SAN FRANCISCO, CALIF. typical of hypertrophic , Hasbrouck, Alexander and Cagnettohave each reported one case. The descriptionof the latter case is more tyj^)ical of osteitisdeformans; hov^^ever, differentiation be-tween the latter and a late case of hyper-trophic osteo-arthropathy may be difficult. While it was not possible to obtain a post-mortem examination, the roen
. The American journal of roentgenology, radium therapy and nuclear medicine . Fjg. I. Right .\km Showing Soft Tissue Tumor first by Saundby in 1889 as a case of acro-megah-, but the postmortem findings are SAN FRANCISCO, CALIF. typical of hypertrophic , Hasbrouck, Alexander and Cagnettohave each reported one case. The descriptionof the latter case is more tyj^)ical of osteitisdeformans; hov^^ever, differentiation be-tween the latter and a late case of hyper-trophic osteo-arthropathy may be difficult. While it was not possible to obtain a post-mortem examination, the roentgenograms ofthe following case are so typical that I wisht(3 report it as a probable case of secondaryIn-pertrophic osteo-arthropathy followingmetastatic sarcoma of the lung. J. R., age twenty-nine, married; laundryworker; no family history of tuberculosis ormalignancy; wife healthy; tw^o healthy chil-dren ; one miscarriage. No history of ure-thritis or lues; Wassermann was ^ifteen years ago patient was run over by a. Fig. 2. Chest Roentgenogram at the Time of the Fig. 3. Chest in , 1917—16 Months AfterShoulber Amputation, May 9, 1916. Operation—Showing fluid and metastatic Malig- nancy. * Read before the P.\ciFic Coast Kay , ])ecember. 1917. 286 Secondary Hypertrophic Osteo-Arthropathy 287 wagon and had the middle third of the rio;ht There was no apparent honv involvement arm hadly cut and hruised. The wound (P^ig. i )• There was no evidence of glandu- healed readily, leaving considerahle scar lar involvement and no clinical or roentgen tissue. Five years after the accident, a rap- evidence of pulmonary invohement (Fig.
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