March 1941


Author Affiliations

From the Department of Surgery, University of Michigan, the Orthopedic Service of Dr. Carl E. Badgley.

Arch Surg. 1941;42(3):566-576. doi:10.1001/archsurg.1941.01210090115010

Primary malignant tumors of bone constitute approximately 1 per cent of all types of malignant neoplasms.1 Of this 1 per cent, an extremely small proportion is made up of periosteal fibrosarcomas. Kolodny,2 in his review of the material in the Bone Registry of Sarcoma in 1928, found only a few cases. Geschickter and Copeland have stated that, among over 1,700 neoplasms involving bone, only 1.5 per cent were placed in this group. In a series of 200 primary malignant bone tumors seen at the University Hospital since 1925, comprising osteogenic sarcoma, Ewing's sarcoma, multiple myeloma and periosteal fibrosarcoma, 27 were included in the last-named group, a relatively high incidence. In every instance the diagnosis was made on the basis of a combination of clinical, operative, roentgen and histologic observations.

GENERAL CONSIDERATIONS  The age distribution in these 27 cases was, in general, that found in most cases of sarcoma.

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