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.
The age distribution in these 27 cases was, in general, that found in most cases of sarcoma.
BATTS M. PERIOSTEAL FIBROSARCOMA. Arch Surg. 1941;42(3):566-576. doi:10.1001/archsurg.1941.01210090115010