. Hospital Bulletin . ,and the discharge, becoming purulent, tubes wereput into the chest. On the 9th day, while thechart was that of a distinct empyema, the drain-age was good, and the patients appetite andstrength were returning in some slight picture continued until the 18th day, whenthe patient died suddenly—we thought of an em-bolus. Unfortunately, autopsy was denied, andthe exact extent of his injury, as well as the im-mediate cause of death, was never determined. REPORT OF TWO CASES OF SARCOMAOF THE SCAPULA. By Randolph Winslow, On September 8, 1898, R. F., an Italian
. Hospital Bulletin . ,and the discharge, becoming purulent, tubes wereput into the chest. On the 9th day, while thechart was that of a distinct empyema, the drain-age was good, and the patients appetite andstrength were returning in some slight picture continued until the 18th day, whenthe patient died suddenly—we thought of an em-bolus. Unfortunately, autopsy was denied, andthe exact extent of his injury, as well as the im-mediate cause of death, was never determined. REPORT OF TWO CASES OF SARCOMAOF THE SCAPULA. By Randolph Winslow, On September 8, 1898, R. F., an Italian womanaged 21 years, and married, was admitted to Uni-versity Hospital. As she spoke no English, itwas impossible to obtain any adequate history ofher case. Physical inspection soon determinedthat she was several months advanced in preg-nancy. She was thin and anaemic in condition for which she sought relief was alarge growth involving the left scapula, andwhich had grown rapidly. This tumor projected. Fig. I.—Sarcoma of scapula. on the dorsal surface of the body as a roundedmass almost the size of an infants head. It wassolid, but not very hard, and was judged to be asarcoma of the body of the scapula. There wasalso involvement of the axillary glands. Withmuch difficulty permission was obtained to re-move the tumor, but an amputation at the shoul-der was prohibited. We were, therefore, handi-capped from the start; nevertheless I attemptedthe extirpation of the growth, with the preserva-tion of the arm. The patient was not a good sub-ject for operation. A cross incision was made over the scapula,and the bone separated from its connection withthe thorax, but the glenoid cavity, coracoid pro-cess and a portion of the acromion were not re-moved ; that is, the neck of the scapula and acro-mion were sawed through. An attempt was madeto clean out the axilla, but it could not be donesatisfactorily. The woman was considerablyshocked, but rallied, and made a good reco
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