File:Journal of radiology (1921) (14758244215).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

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High-power microphotograph. Smallround cell sarcoma, cells of nearly uniform type, size, andmorphology, resembling Ewings endothelial myeloma. the right humerus, which is ten-der to pressure. No movablemass can be felt and no involve-ment of the soft parts or of axil-lary and cervical glands can bemade out. There is definite limi-tation of the shoulder joint ap-parently due to the pain andmost marked on abduction.X-ray Examination: (See Fig. Page Ttoch* 16). Shows expansion of theupper end of the humerus in theregion of the greater tuberosityand apparently extending throughthe epiphyseal line into the headof the bone. The expansion israther symmetrical, but the in-volved area is cloudy and ap-pears lobulated, not smooth, asseen in bone cysts, nor mottled. PRIMARY TUMORS OF BONE—SOSMAN AND CANTER as seen in older bone cysts or ingiant cell tumors. The cortexappears to be almost destroyedin places and there are fine per-pendicular lines of periosteal newbone formation. Laboratory ex-
Text Appearing After Image:
Fig. 16.—Case VI. X-ray of rightshoulder. For description see text. ami nation shows a negative urineand a plus minus Wassermannreaction. The x-rays of this case,with an abstract of the clinicalhistory and laboratory findings,were presented to a group ofprominent roentgenologists andsurgeons with a request for anexpression of opinion. The ma-jority favored a low grade in-flammatory process. The mostplausible was the suggestion thatit was due to syphilis, as the pa-tient presented a very suggestivehistory. Several, among them Dr.Bloodgood, insisted that the con-dition was malignant, but allagreed that a course of salvarsan should be tried as an aid to diag-nosis, as well as for therapeuticpurposes. Accordingly, the pa-tient received six doses of sal-varsan between September 11and October 2, without the slight-est benefit. In addition, the dis-ease was attacked from anotherangle and radium was tried. OnSeptember 15, five and five-sixthsinc. of radium emanation wasimplanted in a small

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