Recent accumulated experience, in the ultimate results after amputation for sarcoma of the long pipe bones, and complete resection for sarcoma of the upper and lower jaw, has demonstrated that local recurrence is unusual, but death from internal metastasis is common in a certain number of cases. When these cases are studied pathologically it is found that the patients who have remained well suffered from special types of sarcoma essentially different from the tumors removed from the patients who ultimately succumbed to internal metastasis. In other words, we were not accomplishing a cure in the latter group of cases even after amputation at the highest joint, because internal metastasis takes place early and is present at the time the patient seeks surgical treatment, and we were subjecting the fiist group of patients to an unnecessarily extensive operation.
BLOODGOOD JC. BONE CYSTS.A CONSIDERATION OF THE BENIGN AND ADAMANTINE DENTIGEROUS CYSTS OF THE JAW AND BENIGN CYSTS OF THE LONG PIPE BONES.. JAMA. 1904;XLIII(16):1124-1129. doi:10.1001/jama.1904.92500160001g