File:Röntgen ray diagnosis and therapy (1904) (14571624698).jpg

Identifier: rntgenraydiagn00beck (find matches)
Title: Röntgen ray diagnosis and therapy
Year: 1904 (1900s)
Authors: Beck, Carl, 1856-1911
Subjects: Radiotherapy Diagnosis, Radioscopic
Publisher: New York, London, D. Appleton and Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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s size.The skiagraph of osteosarcoma proper shows more osseous tissue Pig. 224.—Osteosarcoma of Femuk. than the periosteal variety, but its outlines are very irregular.They usually commence near the epiphysis of a long bone. Fig. 224 illustrates the cystic osteosarcoma of the femur ina man of forty-eight years. The first signs of the swelling wereobserved three months before the skiagraph was taken, but therewere vague symptoms, especially pain in this region and disturb-ance of function, about nine months before that time, whichwere interpreted as muscular rheumatism. Inspection and palpa-tion revealed the presence of a cyst, filled to half of its extentwith serum, the microscopical examination of which proved to benegative. The skiagraph revealed the presence of bone-prolifera- 292 THE EONTGEX EAYS tion around the whole circumference of the middle of the femur,surrounded by a very light area. The latter indicated the cysticfluid. The knowledge that the sarcoma was of a myelogenous
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Fig. 2:25.—Lakge Lipoma of Thigh. nature induced the author to make an attempt to resect the sar-comatous area, in which he succeeded so far, as no recurrencewas observed a year after operation. Further observation, of N KOILA SMS 203 course, must show whether amputation caD finally be avoided.The microscope demonstrated the presence of giant cells. To illustrate the value of the rays in differentiation, Fig. 225may serve as a counterpart. Ii concerns a lady of forty-nine yearswho noticed a slowly growing tumour in her thigh. When theauthor examined her, a globular tumour of a sofl consistency wasfound to occupy the larger half of the thigh. Some portions ap-peared to be fibrous, whileothers showed pseudofluctua-tion. The history, especiallythe painless onset and thelocation, gave the author theimpression that a malignantgrowth, perhaps a cystosar-coma, was developing. As-piration was suggested, butthe patient, whose domicilewas at a great distance fromNew York, gave the authorno ch

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