. Tumours, innocent and malignant; their clinical characters and appropriate treatment. formidable proportions. It israre for sarcomas to arise in connexion with the pro-cesses of the scapula, but a central sarcoma of the coracoidprocess has been observed. Scapular sarcomas are usually of the spindle-celledspecies, and many of them chondrify and ossify, often veryextensively (Fig. 52). Since 1887, when Berger introduced the operationknown as interscapulo-thoracic amputation^ many surgeonshave removed the scapula and upper limb in cases ofscapular sarcoma. The immediate results of this formid-a
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. formidable proportions. It israre for sarcomas to arise in connexion with the pro-cesses of the scapula, but a central sarcoma of the coracoidprocess has been observed. Scapular sarcomas are usually of the spindle-celledspecies, and many of them chondrify and ossify, often veryextensively (Fig. 52). Since 1887, when Berger introduced the operationknown as interscapulo-thoracic amputation^ many surgeonshave removed the scapula and upper limb in cases ofscapular sarcoma. The immediate results of this formid-able operation are very gratifying, and though in a largeproportion of the patients there is a quick recurrence,nevertheless life is more often prolonged than in amputationfor sarcomas of many of the long bones. Occasionally, SARCOMAS OF BONES 87 when a sarcoma is confined to a limited area of the scapula,it is possible to excise the body of the bone, leaving thehead in its normal relation to the shoulder-joint: somepatients have recovered from this operation with a usefulupper Fig. 52.—Skeleton of a periosteal sarcoma of the scapula.{lluseum, St. Thomass HQspital.) Innominate bone.—Sarcomas occasionally arise in con-nexion with this bone; they may be periosteal or central,and may occur in any part of it. On the whole, the iliuniis the segment most commonly affected, and the tumoursattain a great size. Stimulated by the success of theinterscapulo-thoracic amputation for sarcoma of the scapula 88 CONNECTIVE-TISSUE TUMOURS attempts have been made to remove tlie innominate bone, orthe greater part of it, with the lower limb, as a radical meansof dealing with sarcoma of the ilium. This operation hasbeen termed tbe interilio-abdominal amputation (Jaboulay,1894). Keen and Da Costa have collected fifteen cases andadded one under their own care. The results are notencouraging. Sternum.—This bone is sometimes the seat of primarysarcoma, and a few surgeons have excised portio
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
