380 Diseases of Bone. 



some to be cancerous, by others to be scrofulous. I suspect 

 the latter, as it wants those hard membranous septa so char- 

 acteristic of schirrhus. When the fleshy parts are removed by 

 putrefaction, the bone of this tumour puts on the same appear- 

 ance as is seen in G. 38," i.e. 6.401. W. C. G. 43. 



6. 440. Sarcoma of Rib. — Portions of the fifth, sixth, and seventh 

 right ribs, with a small portion of lung and liver — in spirit, 

 illustrating the above. 



The patient, aged 44, was a strong and healthy man, though rather 

 addicted to alcohol. There had been no injury, so far as was known, and 

 no instance of malignant disease in the family history. 



The tumour grew first on the sixth rib, and when first noticed was 

 about the size of a small bean. He consulted Dr Craig, who became 

 suspicious of malignancy, from the fact of the man's losing flesh rapidly, 

 without any other apparent cause. In six months after Dr Craig was 

 first called, the man died. 



At the post-mortem examination, the tumour was found to be about 

 the size of a small orange, and projected not quite so far into the pleural 

 cavity as outwards. It was not adherent to the pleura. Secondary 

 deposits occurred throughout the liver, and the lungs also showed traces 

 of being affected. (See the "Edinburgh Medical Journal," February 1885, 

 p. 735.') 



The muscles lying over the primary tumour have been 

 partly pushed aside, and there is an appearance of a capsule. 

 This, it should be noted, is often misleading, and should not 

 in practice be allowed to contra-indicate malignancy. 



G. C. 2716. 

 Presented by y^. Ciiaig, F.R.C.S.E. 



6. 441. Sarcoma of the Body of the Scapula. — Scapula and 



upper arm of a boy, aged ten — in spirit, illustrating the 



above. 



The tumour had been several months growing. The case was first 

 under the care of a medical man in the north, who recognised its 



