. Archives of physical medicine and rehabilitation . ypes of benign With t^e rarest exceptionsdoes the new growth of bore encirclethe shaft. The little isolated areas ofbone formation may be present in thebenign lesions. Advce in thh case: I wroteth; t the x-ray suggested sircoma, butthe m?ss of bone palpated like a be-nign lesion. Up to the present time wehTe ne\er cured a sarcoma by amputi-tion situated above the middle thirdof the femur. Resection with bonetransplantation of the fibula would bepossible in this case. Dr. McClure,surgeon to the Ford Hospital in Det


. Archives of physical medicine and rehabilitation . ypes of benign With t^e rarest exceptionsdoes the new growth of bore encirclethe shaft. The little isolated areas ofbone formation may be present in thebenign lesions. Advce in thh case: I wroteth; t the x-ray suggested sircoma, butthe m?ss of bone palpated like a be-nign lesion. Up to the present time wehTe ne\er cured a sarcoma by amputi-tion situated above the middle thirdof the femur. Resection with bonetransplantation of the fibula would bepossible in this case. Dr. McClure,surgeon to the Ford Hospital in Detroitperformed this some months ago very good functional result. I therefore advised intensive x-raytreatment, which was given by of Kansas City. X-ra]) Diagnosis b\) Dr. Phemislerof Chicago: I showed these x-rays toDr. Phemister in November, expressed the opinion that it was aperiosteal ossifying sarcoma. Thisopinion was based on the spindle-shapedenlargement of the ossifying area, theradiating area of bony tuberculae about. Pig-. 6—Pathol. No. 29638. Case !! ossifying: tumor of neck offemur. Tumor palpates like operation. the periphery, the apparent invasion ofthe marrow canal. X-ralj Treatment: This had no ap-parent effect on the size of the palpablemass, nor did the x-ray show anychanges. The pain increased so thatit was necessary to give the patientmorphine. X-rays of the chest werenegative for metastasis. The x-rays olother bones were negative. All otherexaminations were negative. Exploratory Operation: , November, 1922, five monthsafter the first examination and twoyears and five months after the indication for the operation wasthe intense pain, and no definite im-provement in the x-ray picture. At theexploratory incision. Dr. Dickson wrotethere was no infiltration of the softparts; the mass of bone was hard andwell defined, too hard to remove cautery, so that a piece of bonewas removed with the


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