344 Diseases of Bone. 



6. 366. Chondro-Sarcoma of the Thumb.— Plaster cast of the 

 hand from which the previous specimen was taken. The size 

 and position of the tumoiir is well shown. G. C. 3357. 



Presented hy Charles W. Cathcart, F.R.C.S.E. 



6. 367. Chondro Sarcoma of Scapula and Chondromata of 



Fing"ers and Humerus. — Right arm, with scapula and part 

 of clavicle amputated for enormous chondro-sarcoma of the 

 scapula — in spirit. 



The patient was a gentleman, aged 33. From infancy the joints- 

 of both arms were noted as "peculiar." The shonlder, elbow, and finger 

 joints of his right arm were supposed to have been "put out" by 

 some injury, of which, however, no history was obtainable from his 

 mother. During childhood and boyhood the finger-joints steadily got 

 more "peculiar," enlarging gradually till, when he was 18 years of age^ 

 the growths formed a decided inconvenience, particularly those on the 

 right hand, all the fingers of which were affected. On the left hand, the 

 middle, ring, and little fingers only had growths. As the tumour of the 

 right middle finger hindered him from writing, the finger was removetl 

 by Professor Syme. The patient was at this time fully engaged in hard 

 office work. In 1870, when about 20 years of age, he went to Southern 

 India, and remained there for thirteen years, enjoying, until the growth 

 of the great tumour, perfect health. He was able to write, ride, and play 

 lawn tennis. The growths on his fingers had meanwhile only slightly 

 increased up to about January 1883 (the year of the operation). He then 

 began to feel pain in the right shoulder, and was treated for neuralgia. The 

 pain got worse ; the shoulder began to swell ; his clothes required altering,, 

 and finally he had to keep his arm in a sling outside of his clothes altogether. 

 The pain centred over the bicipital groove and was very much aggravated 

 by the least pressure. 



By April 1883 he had gradually become invalided, the pain 

 getting steadily worse. He walked with diflBculty, till in July he was 

 forced to lie up. After a month in bed he could only stand with help. 

 In August he was carried to Madras for further advice. At this time he 

 could straighten his legs, but the growth was increasing rapidly. At 

 Madras he was advised to return home, and did so, being carried into hi& 

 bunk in October, and never leaving it during a voyage of thirty days. 

 Being a tall man, his legs were kept permanently bent up, thus acquiring 

 the position described in "present condition." On arriving in Edinburgh 

 he saw Dr Gillespie. Dr Patrick Heron Watson was shortly afterwards 

 called in consultation, but thought that any operation was inadvis- 

 able, because the patient's general health was in such an unsatisfactory 

 condition. 



