Abstract

The case reported is that of an adult male, with multiple congenital (familial) exostoses. One of these on the lower portion of the femur was subjected to violent trauma. In three weeks enlargement was noticed; in three months the size of the tumor was interfered with locomotion. Amputation was refused. A massive sharp dissection was performed and 100 mgm. radium was implanted for twenty-four hours. The histologic sections showed osteogenic sarcoma, so diagnosed by all the consultants of the Bone Sarcoma Registry. Thirteen years after operation the patient is alive and well. It is suggested that osteogenic sarcoma arising in an exostosis has a better prognosis than the usual kind.

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