. Archives of physical medicine and rehabilitation . ade without hardening in formalin andstained with Terrys polychrome methy-lene blue. This technique is employedbv MacCarthy and Broders in theMayo Clinic. When I looked at thesesections, I found that both the spindleand round cells were much more distinctthan in the section shown in Figures I I,1 2 and I 3, and the nuclei were espe-cially more distinct, and in a number ofthe larger spindle and round cells Icould see two or three nuclei, a findingwhich distinguished the cells from thosein inflammation. \ ou will observe inthe photomicrographs
. Archives of physical medicine and rehabilitation . ade without hardening in formalin andstained with Terrys polychrome methy-lene blue. This technique is employedbv MacCarthy and Broders in theMayo Clinic. When I looked at thesesections, I found that both the spindleand round cells were much more distinctthan in the section shown in Figures I I,1 2 and I 3, and the nuclei were espe-cially more distinct, and in a number ofthe larger spindle and round cells Icould see two or three nuclei, a findingwhich distinguished the cells from thosein inflammation. \ ou will observe inthe photomicrographs illustrated herethat cells usually present in an inflam-matory reaction, the lymphoid cells andthe young capillaries, are absent, andthe polymorphous leukocytes of osteo-myelitis are absent. The father of this patient to whomI have already referred as an experi-enced pathologist, agreed with the diag-nosis of sarcoma and consented to theamputation, which was immediatelyperformed. Amputation: It was circular withskin flap only. The bone was divided. 50 Tig. 10—(Pathol. No. 31C98) — (B. T. D) —An x-ray ol tlie g^iosa apoclmonHhown In rigure 9. Tho cftvlty formation In tho bone 1> the operative cloudy areas tnfUtratln^ the cancelloUH bone are sclerosliigr anrcomatliine. On the Inner aide the dlacaae la obllteratlnr the eplphyalesl « periosteal tnmor without bona formation ihowi ulffhtly ovtr tht dafeotIn tht cortical bona. Maw ptrloittnl 1)ont formation ii not itan. above the condyle and the muscles atthe level of the bone. The vessels were carefully ligatedwith chromic catgut and the Esmarchbandage removed. The muscles weresutured together with chromic catgut,but not over the bone. The bone wassawed through without pushing up aperiosteal flap. This method of ampu-tation is the one that has been estab-lished as best by the recent experienceof army surgeons. Sclerosing Osteogenic SarcomaMy studies agree with Ewing • thatthis is a distinct type, and I p
Size: 1733px × 1442px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthoramerican, bookcentury1900, bookdecade1920, bookyear1920
