Selected cases of sarcoma of bone affecting the lower extremities / by Frederic S. Dennis.

  • Frederic Shepard Dennis
Date:
[1888]
Catalogue details

Licence: Public Domain Mark

Credit: Selected cases of sarcoma of bone affecting the lower extremities / by Frederic S. Dennis. 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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    I performed the circular amputation, and the stump at the first dressing appeared in excellent condition, save a little bichloride irritation. He developed delirium tremens, and, Avith the kidney complication and exhaustion, died in ten days following the opera- tion. The microscopical examination confirmed Dr. Sayre’s diagnosis of sarcoma. Remarks.—The points of interest in this case are; I. The slow growth of this subperiosteal sarcoma, and in this respect in marked contrast to the other subperiosteal sarcomata. 2. The absence of pain. .3. The cause of death which Avas due to delirium tremens and uraemia, and not directly to the operation. 4. The difficulty of diagnosis in the early stages. I have now two cases Avhere sarcomata are present, but where the groAvths have occupied tAvo years in developing, and on which account both of these patients refuse to have any operation performed. These patients are still alive, and although the disease in each case is progressing sloAvly, and the diagnosis seemed at first obscure, these tumors, without doubt, Avill suddenly groAV rapidly at no distant date. These two cases present very unusual phenomena in regard to the groAvth of sarcoma. Case VII. Central sarco??ia of tibia, mixed, con- taining many different varieties of connective tissue. (Examined by Dr. Biggs.)—J. F., ast. nine. In April, 1887, Avas struck on the loAver end of the leg. Previous to this he had always been Avell. FolloAving the bloAv a small SAvelling appeared upon the,front and lower part of the leg. The lump greAV rapidly, and he began to Avalk upon his toes. Four months