Annals of surgery . ts and the factthat the metastases are usually multiple, would lead one to givean unfavorable prognosis in this case were it not for a seriesof very careful observations by Albrecht ^ from Hocheneggsclinic in Vienna. Albrecht finds that in two cases of Hochenegg, in whichcomplete autopsy returns have been made, the bone metastasiswas the sole metastasis. This observation is of cases were as follows: Hochenegg (reported by Albrecht), Case II, a skullsarcoma was operated upon and died. A complete autopsyshowed no other metastases. Case V, a nephrectomy. Fourm


Annals of surgery . ts and the factthat the metastases are usually multiple, would lead one to givean unfavorable prognosis in this case were it not for a seriesof very careful observations by Albrecht ^ from Hocheneggsclinic in Vienna. Albrecht finds that in two cases of Hochenegg, in whichcomplete autopsy returns have been made, the bone metastasiswas the sole metastasis. This observation is of cases were as follows: Hochenegg (reported by Albrecht), Case II, a skullsarcoma was operated upon and died. A complete autopsyshowed no other metastases. Case V, a nephrectomy. Fourmonths following the nephrectomy a metastasis appeared inthe occipital bone, and six months after the appearance of thismetastasis a complete autopsy found no other metastases. In view of these observations of Albrecht it is possiblethat in the case reported the metastatic growth in the humerusis the only metastasis present. If so, nephrectomy is indicated. Arch. f. klin. Chir., 1905, Ixxvii, 1073; with Fig. 5.—Hocheneggs Case No. 4 : Reported by Albrecht. 60 years old. of femur. Spontaneous fracture of femur. Amputation of thigh. 5^ yearssubsequently tumor of kidney apparent. Complete autopsy. Metastases elsewhere. /


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885