Central Sarcomata. 385 



" She reports that the swelling commenced in the month of May 

 last, without any apparent cause. Leeches, blisters, yeast cataplasms with 

 sweet oil, were applied before her admission, without any effect. 



" On the 17th the limb was amputated about the middle of the thigh, 

 the limb being removed, and the vessels secured by ligatures. The edges 

 of the stump were brought together and secured in apposition by adhesive 

 strap and bandage. 



"The patient did well at first after the operation, but about 20th 

 October the surface of the stump gradually opened, and a fungus of a 

 greenish colour and foul character protruded. The inguinal glands being 

 diseased, she was considered incurable, and dismissed accordingly. 



"On dividing the tumour longitudinally, by sawing 

 through the lower end of the femur, patella, and head of the 

 tibia, the end of the femur appeared softened and somewhat 

 enlarged, with a fungoid excrescence on its fore part. The 

 surrounding muscles are altered in appearance. The cavity of 

 the joint was but little affected, and the cartilages entire 

 within." 



The section shows a central tumour, which has destroyed 

 the interior of the bone and passed extensively beyond and 

 around it. The soft parts are infiltrated behind, but there is 

 a semblance of a capsule in front. G. C. 773. 



Presented hy Sir George Ballingall. 



6.451. Central (?) Sarcoma of the Lower End of the 



Femur. — Section of the lower end of a right femur — in spirit. 

 The bone has been partially destroyed by the growth of a 

 tumour, which seems to have started in the interior, and to 

 have bulged posteriorly. Formerly this specimen was described 

 as part of a femur " carious from the pressure of a sac of blood." 



G. C. 984. 



6. 452. Central (?) Sarcoma of the Lower End of the 



Femur. — Other part of the same femur — macerated, to show 



alterations in the bone. 



2 B 



