. Journal of radiology . admission a large, firm,smooth swelling was found onthe antero-lateral aspect of themiddle third of his thigh stumpfirmly fixed to the bone, but notto the skin, and apparently in-volving the soft parts. Tenderon pressure and painful on mo- Page Eighteen tion. No evidence of glandular involvement. Examination X-rays showed (Fig. 24), alarge cystic defect in the femurjust below the lesser trochanter,with almosl explosive destructionof the cortex, the latter appar-ently in part due to a pathologi-cal fracture through the involvedarea. Examination of the chestshowed severa
. Journal of radiology . admission a large, firm,smooth swelling was found onthe antero-lateral aspect of themiddle third of his thigh stumpfirmly fixed to the bone, but notto the skin, and apparently in-volving the soft parts. Tenderon pressure and painful on mo- Page Eighteen tion. No evidence of glandular involvement. Examination X-rays showed (Fig. 24), alarge cystic defect in the femurjust below the lesser trochanter,with almosl explosive destructionof the cortex, the latter appar-ently in part due to a pathologi-cal fracture through the involvedarea. Examination of the chestshowed several small nodules inthe base of the right lung, notseen when the plates of the pre-vious spring were compared withthe present ones, and a diagnosisof metastatic sarcoma involvingfemur and lung was made. Un-fortunately, we did not at thattime have his previous x-rays orsection of the tumors, and onconsultation the possibility oftuberculosis was suggested. Asthe prognosis, in the case the les-ions were sarcomatous, was poor,. Fig. 24.—Case VII. X-ray of stumpof left femur. See text. PRIMARY TUMORS OF BONE—SOSMAN AND CANTER an exploratory operation wasdone, October, 1920. (MajorKirk). A large blood filled cystwas found (Fig. 25), with thevelvety lining of tumor tissue,a section of which was reportedas sarcoma. Amputation wasthen done three days later, withno attempt at chemical or electri-cal cauterization of the original
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