Volume 1

Atlas of clinical surgery : with special reference to diagnosis and treatment for practitioners and students / by Ph. Bockenheimer ; English adaptation by C. F. Marshall.

  • Bockenheimer, Ph. (Philipp), 1875-
Date:
[1908]
Catalogue details

Licence: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

Credit: Atlas of clinical surgery : with special reference to diagnosis and treatment for practitioners and students / by Ph. Bockenheimer ; English adaptation by C. F. Marshall. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    SARCOMA HUMERI PERIPHERICUM (Peripheral Sarcoma of Humerus) Plate XXIV, Fig. 32. Sarcomas arising from the bones are of special interest on account of their frequency. Osteo-sarcomas are best divided into peripheral and central; the latter may arise from the cortical, spongy or medullary portions. Division into perios- teal and myelogenous tumors is clinically impossi- ble, and the word myelogenous may be replaced by osteal. Tumors which appear clinically to be peri- osteal often arise from the superficial layers of the cortex. By the use of the X-rays it is more easy to divide them into peripheral and central tumors; this leaves open the possible origin of the sarcoma from any part of the bone, and this can only be conclu- sively settled by section of the bone after removal. This classification is all the more rational because sections of preparations which were clinically re- garded as periosteal sarcomas show that these arose from small foci in the medullary cavity. Periosteal tumors may extend into the medullary cavity and so simulate osteal tumors. In extensive tumors the origin of the tumor from any definite part of the bone cannot as a rule be established. Both forms have special seats of predilection: in the long bones, the neighborhood of the epiphyses e.g. the upper end of the humerus (Fig. 32), the lower end of the femur, especially the internal condyle, the head of the tibia, the lower end of the radius; the flat bones, especially the scapula and bones of the skull. Both forms also grow in a globular form involving the whole circumference of the bone and