Abstract

TUMORS of bone occurring in the upper end of the humerus offer to surgeon and patient distinct advantages for early diagnosis and effective treatment. These advantages are derived from the ready palpability of a tumor in this location, its accessibility to surgery, and the possibility, in malignant disease, of combining radical procedure with a fair plastic and functional result, that is, resection with subsequent bone graft. Resection of the upper end of the humerus offers as much in the treatment of malignant tumors as does amputation. The upper humerus is an occasional site for all common bone tumors and a favorite site for exostoses, bone cysts, and, among the malignancies, chondrosarcoma and metastatic carcinoma. The tumors arising from pre-cartilaginous and pre-osseous connective tissue or in connection with the growth of cartilage, both benign and malignant, predominate. Primitive connective tissue, capable of forming both cartilage and bone, may give rise to benign and malignant tumors. Moreover, ...

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