. Annals of surgery. responded morewith ostitis fibrosa than with osteomalacia. Engels obser-vation was made in 1864, later Heinecke interpreted it as osteo-malacia. Hirschbergs case observed in 1889 also allows morethan one interpretation. Von Haberer classifies it with VonRecklinghausens disease, Hirschberg himself with osteoma-lacia. Giant-cell tumors were present in this case. The dis-ease had been present four years in a woman of thirty-five. Itis rather interesting to note that the symptom of onset wasswelling of the left clavicle; symptoms of other foci developedrapidly. Heineckes case
. Annals of surgery. responded morewith ostitis fibrosa than with osteomalacia. Engels obser-vation was made in 1864, later Heinecke interpreted it as osteo-malacia. Hirschbergs case observed in 1889 also allows morethan one interpretation. Von Haberer classifies it with VonRecklinghausens disease, Hirschberg himself with osteoma-lacia. Giant-cell tumors were present in this case. The dis-ease had been present four years in a woman of thirty-five. Itis rather interesting to note that the symptom of onset wasswelling of the left clavicle; symptoms of other foci developedrapidly. Heineckes case is most interesting on account of theX-ray studies. Clinically, the patient was twenty-four withsymptoms of four years duration following trauma to the lefthip; she came under observation with pathological fracture ofthe left femur; the X-ray showed the multiple cyst. At theoperation on the left femur Heinecke found a cyst with aconnective-tissue lining. Heineke interprets the microscopicpicture as osteomalacia. Pathol. No. 4520. X-ray of giant-cell sar-coma of upper end of tibia (Bloodgoods case).Well seven years and five months after shadow here is more like that of a bone cyst,—it has not the usual abrupt expansion of the giant-cell tumor.
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
