. Journal de radiologie . ft. Fémur. Négatif. Histoire indéfinie de traumatisme. Durée de la douleur, dix mois; gonflement et incapacité,huit mois. Augmentation progressive des trois symptômes, avec perte de poids. Aspiration de l'articulation du genou,six mois avant l'admission,liquide stérile trouvé. La douleur a été la page neuf soulagée par le soutien et l'extensionavec la traction. Examen gonflement large, lisse et arrondi du genou gauche, qui est fairlyferme, pas boggy, et plutôt dix tumeurs PRIMAIRES DE L'OS—SOSMAN ET CANTER condyle médial détruit. Thiswas d'abord rapporté comme tuberculose, mais sur consultation le diagnostic chang

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. Journal of radiology . ft femur. negative. Indefinite history oftrauma. Duration of pain, tenmonths; swelling and disability, eight months. Gradual increase ofall three symptoms, with loss ofweight. Aspiration of knee joint, six months before admission, sterile fluid found. The pain was Page Nine relieved by support and extensionwith traction. Examination Large, smooth, rounded swell-ing of left knee, which is fairlyfirm, not boggy, and rather ten- PRIMARY TUMORS OF BONE—SOSMAN AND CANTER medial condyle destroyed. Thiswas first reported as tuberculosis, but on consultation the diagnosiswas changed to sarcoma. Operation ( Major Kirk). Amputationthrough thigh at the junction ofthe upper and middle thirds. Thehone and marrow at this pointwere normal (Fig. 13). Micros-copical examination (Major Cal-ender), showed a typical smallround cell sarcoma, periosteal intype (Figs. 14 and 15). Primaryunion. The result has been im-mediate gain in weight of twentypounds in five weeks and amarked improvement in generalhealth.. Fig. 12.—Case V. Antero-posteriorview, showing huge soft-tissue tumoralmost obliterating bone detail. der. Knee shows very little i fany motion. Marked atrophy ofthigh and calf muscles. Inguinalglands not palpable. Patient ispoorly nourislied and anaemic.Blood Wassermann and urinenegative. X-ray examination ofchest shows an old fibrosed api-cal lesion. X-rays of knee (Figs.11 and 12), show very poor bonedetail, due to huge, soft tissueswelling. Multiple small areas ofbone destruction with very slightnew bone formation. Apparentperforation of the cortex at sev-eral points. Articular surface of

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