Bone tumors of the epulis type are generally considered benign. At times, however, the growth invades the contiguous tissues; recurrences are common, metastases being reported by Gross,1 Coley,2 Stewart,3 and others; cachexia is an accompaniment to extension and recurrence (64.7 per cent in the cases reviewed).
While these statements may be considered questionable by those who regard all tumors of the giant cell type as falling in one category, i. e., the benign, they are apparently facts when considered in relation to this type of growth where it invades the vertebrae. The following is an epitome of twenty-eight cases reported in the literature. The average age of the patients was 22.2 years; 46 per cent were below the age of 20 and 80 per cent below 30. Sixty-five per cent of the patients were males. Trauma was mentioned as a causative factor in 33.3 per cent. Pain
BOWER JO, CLARK JH, DAVIS L. THE MANAGEMENT OF GIANT CELL SARCOMA OF THE VERTEBRAE: REPORT OF A CASE WITH CURE AFTER FIVE YEARS. Arch Surg. 1930;21(2):313–329. doi:10.1001/archsurg.1930.01150140130005
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