Fibro-sarcoma of the dura mater (card specimen) ; Multiple sarcomata in the cerebral hemispheres and pons Varolii, with entire absence of cerebral symptoms (card specimen) ; Psammoma involving the superior frontal gyrus of the right side (card specimen) ; Simply cyst occurring in the right lateral ventricle (card specimen) ; Sarcoma involving the left fifth nerve near its origin : multiple sarcomata of the body (card specimen) ; Primary carcinoma of the cerebellum : left lateral hemisphere (card specimen) ; Primary round-celled sarcoma involving the inferior vermiform process of the cerebellum (card specimen) ; A case of multiple intussusception ; Two specimens of osteitis deformans ; Intraosseous or central necrosis of the femur ; Central sarcoma of the shaft of the femur / by D'Arcy Power.

  • Power, D'Arcy, 1855-1941.
Date:
[1886]
Catalogue details

Licence: Public Domain Mark

Credit: Fibro-sarcoma of the dura mater (card specimen) ; Multiple sarcomata in the cerebral hemispheres and pons Varolii, with entire absence of cerebral symptoms (card specimen) ; Psammoma involving the superior frontal gyrus of the right side (card specimen) ; Simply cyst occurring in the right lateral ventricle (card specimen) ; Sarcoma involving the left fifth nerve near its origin : multiple sarcomata of the body (card specimen) ; Primary carcinoma of the cerebellum : left lateral hemisphere (card specimen) ; Primary round-celled sarcoma involving the inferior vermiform process of the cerebellum (card specimen) ; A case of multiple intussusception ; Two specimens of osteitis deformans ; Intraosseous or central necrosis of the femur ; Central sarcoma of the shaft of the femur / by D'Arcy Power. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Central sarcoma of the shaft of the femur. By D’Arcy Power. [With Plate XIV, figs. 2, 3, and 4.] The specimen which I exhibit to-night is a somewhat unusual example of a class of tumours which is more frequently read about than seen. It is a primary sarcoma growing from the centre of the femur of a young man. I am indebted to Mr. Langton, in whose practice the case occurred, for the following clinical history:—A. B—, a male aged 28, complained of pain in his right thigh for four months. He was treated for sciatica at Buxton by baths and friction, but derived no benefit therefrom. In September, 1885, Mr. Langton discovered a tumour in the long axis of the right femur. The swelling was broader above than below, where it tapered off into the natural thickness of the bone (Plate XIV, fig. 2). There was slight tenderness at one spot. On September 24th, whilst turning in bed, the right femur broke. On the 25th the leg was amputated through the lower part of the lesser trochanter, leaving the insertion of the psoas and iliacus muscles. The operation was performed by Furneaux Jordan’s method. The medulla in the head of the bone was scooped out as far as possible, and the patient made a good recovery and has up to the present time remained free from recur- rence, either locally or in other organs. The specimen consists of the shaft of the femur for three inches downwards from the level of the lesser trochanter. Throughout its whole extent the centre of the femur is hollowed out into a conical cavity (fig. 3) which is filled by a firm tapering mass of new growth, projecting for a distance of nearly four inches below the end of the bone (fig. 4). The new growth must therefore have exca- vated the shaft of the femur to a corresponding depth. Near the lesser trochanter the bone has been sawn across, whilst its lower portion has sustained an irregular transverse fracture. At the upper part the medullary canal is closed by a deposit of sclerosed bone the result of chronic inflammation, except at the centre, where the new growth has caused absorption. At the fractured distal extremity, where the new growth has