Identifier: atlasofclinicals00bock (find matches)
Title: Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students
Year: 1908 (1900s)
Authors: Bockenheimer, Ph. (Philipp), b. 1875
Subjects: Surgery, Operative
Publisher: New York : Rebman
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive

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stic cavities due to softening andhemorrhage. They then resemble in appearancebenign, cystic chondrofibromas. They often form rapidly growing tumors whichdestroy the bones and joints and give rise to sarcoma-tous metastases containing no cartilage. Their prog-nosis is, therefore, very bad. In young individualsthey cause disturbance in growth (shortening, etc.).Spontaneous fractures are frequent in the formswhich show an abundant development of sarcomatoustissue and much cystic degeneration. In chondro-mas arising from cartilaginous exostoses, which, likethe chondromas of Virchoiv, are due to arrested de-velopment of the skeleton and disturbances in growth,chondrosarcomas may also develop. The tumors areso typical that they cannot be mistaken for otliergrowths. Fig. 34 shows a nodular tumor of almost bonyhardness arising from the tibia. Some portions ofthe tumor are soft. The tumor has pushed forwardunder the skin, which has become thin and livid, and 62 Bockenheimer, Atlas. Tab. XXVI.
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Fig. 34. Cliondroniy.xusarcoma — Exostoses malignac. is broken through in some places through which thetumor is beginning to discharge. The movements ofthe knee joint are very hmited. No glandular ororganic metastases were found. Treatment. Removal of the sarcomatous exos-toses, and resection of the joint, if necessary. Inlarge tumors, amputation and disarticulation. Pro-phylactic treatment consists in the removal of rapidlygrowing exostoses and chondromas. 63 SARCOMA GIGANTO CELLULARE (Gtant-celM)—EPULISPlate XXVII, Fig. 35. The name epulis has been given to sessile or pedun-culated fibrosarcomas with numerous spindle andgiant cells, arising from the periosteum or alveolarconnective tissue of the upper and lower jaw. Theyare hard or soft tumors according to the nature ofthe cells, with a smooth surface covered by mucousmembrane, of rounded form and the size of a walnut.They grow rapidly in women during pregnancy. Inrare cases they are ulcerated. In children and youngpeople they o

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