File:Journal of radiology (1921) (14735243596).jpg

Identifier: journalofradiolo2192radi (find matches)
Title: Journal of radiology
Year: 1921 (1920s)
Authors: Radiological Society of North America American College of Radiology and Physiotherapy
Subjects:
Publisher: Omaha, Neb., : (Radiological Pub. Co.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
Fig. 19.—Case VI. X-ray showingfibular graft in position, supportedby modified airplane splint. Primary tumors of bo Seven weeks after operation hewas free from all pain, hadgained in weight, and had a fairamount of motion in the shoul-der. The microscope showed(Figs. 20. 21, 22), a cellulartumor, small round cells andspindle cells with several myxo-matous areas and several centralareas of degeneration which mayhave been due to the radium or NE—SOSMAN AND CANTER to the lack of blood supply whichfrequently causes central degen-erative changes, especially inrapidly growing tumors. Discussion Our experience in this caseillustrated the futility of attempt-ing to make a diagnosis from thex-ray plate alone, even if com-bined with the ordinary clinicaland laboratory findings. The line
Text Appearing After Image:
Fig. 20.—Case VI. Low-power microphotograph showingmyxomatous and fibrous areas. of treatment followed in this caseis believed to be the most rea-sonable with our present knowl-edge, and is based on the factthat the percentage of cures intrue sarcoma of bone is quitesmall, even with amputation.This accounts for the choice ofresection and graft rather than amputation, thereby saving thelimb and offering as much hopefor a cure in the former proced-ure as in the latter. Unfortun-ately, tumor tissue was met un-expectedly in the bone marrow,well below the lesion, and al-though immediate steps weretaVen to destroy any transplanted Page Fifteen PRIMARY TUMORS OF BO cells, the prognosis as regardsrecurrence is distinctly less fav-orable. In regard to the radio-therapy, which may be criticisedas insufficient, it is fairly well es-tablished that tumors which willreact favorably to x-rays or ra-dium, do so at once with symp-tomatic relief, while the othersare better off with immediatesurgery,

Note About Images