TREATMENT OF OSTEOCLASTOMA

776

" XBD=2546 XBD=1391 XBD=1614 XBD=1684 XBD=1806 XBD=1852 XBD=1949 XBD=2033 XBD=2205 XBD=2251 XBD=2369 XHG=1359 YBD=210 XHG=1415 XHG=1640 XHG=1711 XHG=1835 XHG=1880 XHG=1976 XHG=2044 XHG=2231 XHG=2276 XHG=2394 YBD=208 YBD=218 YBD=209 YBD=217 YHG=180>A YHG=181>radiogram YHG=190>on YHG=182>Sept. YHG=183>7 YHG=182>(fig. YHG=185>11) YHG=183>revealed YHG=191>a YHG=182>large TREATMENT OF YHG=182>rounded OSTEOCLASTOMA " XBD=2300 XBD=1503 XHG=2190 XBD=1629 XBD=1705 XBD=1833 XBD=1964 XBD=2020 XBD=2093 XBD=2174 XHG=1358 YBD=248 XHG=1518 XHG=1644 XHG=1721 XHG=1849 XHG=1981 XHG=2029 XHG=2109 YBD=255 YHG=220>chest. YBD=247 YBD=256 YHG=222>tumour YHG=220>filling YHG=220>the YHG=229>upper YHG=221>2/3rds YHG=221>of YHG=215>the YHG=221>left

F. BRAILSFORD, JAMES MD, PHD BIRM, F R C " XBD=2485 XBD=2549 XBD=1500 XBD=1789 XBD=1895 XBD=1967 XBD=2057 XBD=2163 XBD=2249 XHG=1406 XHG=1651 XHG=1808 XHG=1917 XHG=2015 XHG=2080 XHG=2189 XHG=2269 XHG=2512 YBD=296 YHG=268>of YBD=304 YBD=303 YBD=295 YHG=268>CASE YHG=277>woman YHG=269>aged YHG=269>29. YHG=268>In YHG=269>1918 YHG=269>she YHG=268>complained

2.―A

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AND QUEEN ELIZABETH TO THE YBD=333 ROYAL CRIPPLES RADIOLOGIST " XBD=2546 XBD=1515 XBD=1573 XBD=1649 XBD=1778 XBD=1863 XBD=1922 XBD=1998 XBD=2115 XBD=2393 XHG=1358 XHG=1534 XHG=1587 XHG=1667 XHG=1796 XHG=1883 XHG=1936 XHG=2017 XHG=2162 XHG=2411 YBD=343 YBD=334 YBD=342 YHG=307>swelling YHG=308>of YHG=306>the YHG=315>upper YHG=307>end YHG=307>of YHG=307>the YHG=307>tibia. YHG=307>Radiograms YHG=306>showed " XBD=2546 XBD=1420 XHG=2488 XBD=1573 XBD=1824 XBD=1884 XBD=2169 XBD=2229 XBD=2304 XBD=2415 XBD=2472 XHG=1357 HOSPITALS, XHG=1439 XHG=1592 XHG=1844 XHG=1900 XHG=2190 XHG=2244 XHG=2324 XHG=2434 YBD=374 BIRMINGHAM YBD=382 YBD=373 YBD=372 YHG=346>typical YHG=354>appearances YHG=346>of YHG=346>osteoclastoma YHG=345>head YHG=345>of YHG=345>the |>" " XBD=1684 XBD=1887 XBD=1950 XBD=2032 XBD=2200 XBD=2293 XBD=2449 XBD=2546 XBD=1458 XHG=1505 XHG=1709 XHG=1912 XHG=1971 XHG=2056 XHG=2224 XHG=2319 XHG=2474 XHG=1358 YBD=413 YBD=420 YBD=412 YBD=410 YBD=411 YBD=418 YHG=384>Localised YHG=385>curetting YHG=384>of YHG=384>the YHG=387>tumour YHG=393>was YHG=383>carried YHG=386>out. YHG=385>tib,ia. on Plate) (Illustrations " XBD=2545 XBD=1432 XHG=2448 XBD=1601 XBD=1761 XBD=1823 XBD=1982 XBD=2184 XBD=2301 XBD=2423 XHG=1359 YBD=450 XHG=1458 XHG=1625 XHG=1786 XHG=1848 XHG=2008 XHG=2209 XHG=2329 YBD=451 YHG=422>when YBD=458 YBD=455 YHG=423>The YHG=426>tumour YHG=424>seemed YHG=426>to YHG=424>remain YHG=423>quiescent YHG=423>until YHG=423>1930, XBD=507 XHG=760 XBD=573 XBD=625 XBD=666 XBD=751 XBD=939 XBD=1079 XBD=1295 XHG=154 XHG=519 XHG=585 XHG=634 XHG=675 XHG=948YBD=490 XHG=1092 YBD=484 YBD=488 YHG=455>OsTEOfLASTOMA, YHG=464>or, YHG=464>as YHG=455>it YHG=463>was YHG=454>formerly YHG=452>called, YHG=453>myeloma, " XBD=2546 XBD=1497 XBD=1662 XBD=1838 XBD=1922 XBD=2148 XBD=2300 XHG=1358 XHG=1509 XHG=1675 XHG=1852 XHG=1934 XHG=2162 XHG=2314 YBD=490 YBD=497 YBD=498 YBD=489 YBD=488 YHG=463>further YHG=462>swelling YHG=463>occurred YHG=462>and YHG=462>radiograms YHG=461>showed YHG=460>well-marked " XBD=270 XBD=478 XBD=744 XBD=922 XBD=987 XBD=1194 XBD=1249 XHG=103 XHG=293 XHG=504 XHG=768 XHG=946 XHG=1009 XHG=1217 XHG=1274 YBD=529 YBD=530 YBD=523 YBD=522 YBD=528 YBD=522 YHG=494>myeloid YHG=503>sarcoma, YHG=493>giant-celled YHG=494>tumour YHG=502>or YHG=501>sarcoma, YHG=493>is YHG=502>a "|>"XBD=1297 XBD=1552 XBD=1607 XBD=1681 XBD=1787 XBD=1843 XBD=2123 XBD=2256 XBD=2342 XBD=2545 XBD=2020 XHG=1359 XHG=1568 XHG=1619 XHG=1696 XHG=1804 XHG=2035 XHG=2139 XHG=2273 XHG=2359 XHG=1854 YBD=539 YBD=529 YBD=528 YBD=527 YBD=528 YHG=502>expansion YHG=501>the YHG=501>head YHG=501>of YHG=501>with YHG=509>coarse YHG=500>and YHG=499>somewhat YHG=501>the-tibia XBD=257 XHG=590 XBD=322 XBD=472 XBD=564 XBD=828 XBD=1098 XBD=1246 XBD=1297 XHG=102 XHG=282 XHG=346 XHG=497 XHG=853YBD=570 XHG=1123 XHG=1274 YBD=563 YBD=562 YBD=569 YBD=562 YBD=561 YHG=534>tumour YHG=533>in YHG=533>which YHG=533>the YHG=533>histological YHG=532>preparation YHG=532>shows YHG=541>a " XBD=2543 XBD=1501 XBD=1778 XBD=1912 XBD=2105 XBD=2163 XBD=2227 XBD=2415 XHG=1358 XHG=1521 XHG=1798 XHG=1931 XHG=2126 XHG=2185 XHG=2248 XHG=2434 YBD=568 YBD=576 YBD=567 YBD=575 YBD=566 YHG=541>blurred YHG=540>trabeculation YHG=540>which YHG=540>appeared YHG=542>to YHG=539>be YHG=539>breaking YHG=538>down. " XBD=1297 XBD=264 XBD=444 XBD=509 XBD=838 XBD=966 XBD=1083 XHG=102 XHG=284 XHG=465 XHG=524 XHG=985 XHG=1135 YBD=601 YBD=608 YBD=601 YBD=607 YHG=572>striking YHG=573>number YHG=572>of YHG=571>multinucleated YHG=572>giant YHG=571>cells. YHG=571>Though XBD=1593XHG=860 XBD=1764 XBD=1846 XBD=1993 XBD=2106 XBD=2163 XBD=2242 XBD=2366 XBD=2453 XBD=2544 XHG=1357 XHG=1610 XHG=1786 XHG=1863 XHG=2010 XHG=2125 XHG=2181 XHG=2264 XHG=2384 XHG=2471 YBD=615 YBD=606 YBD=613 YBD=605 YBD=614 YHG=579>Amputation YHG=578>through YHG=579>the YHG=578>middle YHG=579>third YHG=579>of YHG=578>the YHG=578>thigh YHG=587>was YHG=587>per" XBD=1295 XBD=220 XBD=286 XBD=418 XBD=616 XBD=787 XBD=905 XBD=1171 XHG=102 XHG=242 XHG=311 XHG=442 XHG=639 XHG=927 XHG=1192 YBD=647 YBD=639 YBD=641 YBD=640 YBD=647 YBD=646 YHG=620>many YHG=611>of YHG=611>these YHG=611>tumours YHG=611>exhibit YHG=611>local YHG=610>malignancy YHG=610>only, XBD=1505XHG=807 XBD=1595 XBD=1708 XBD=1799 XBD=1967 XBD=2214 XBD=2282 XBD=2483 XBD=2549 XHG=1358 XHG=1553 XHG=1628 XHG=1739 XHG=1827 XHG=1996 XHG=2243 XHG=2307 XHG=2511 YBD=645 YBD=654 YBD=653 YBD=644 YHG=618>formed. YHG=619>In YHG=618>1933 YHG=617>the YHG=618>patient YHG=617>complained YHG=617>shortness YHG=617>of XBD=127 XHG=803 XBD=300 XBD=557 XBD=630 XBD=772 XBD=926 XBD=1108 XBD=1298 XHG=102 XHG=155 XHG=328 XHG=587 XHG=654 XHG=956YBD=679 XHG=1136 YBD=681 YBD=687 YBD=680 YBD=683 YBD=687 YHG=660>a YHG=650>certain YHG=651>proportion YHG=650>of YHG=650>them, YHG=650>which YHG=650>present YHG=649>clinical, " XBD=2544 XBD=1486 XBD=1576 XBD=1620 XBD=1837 XBD=1997 XBD=2039 XBD=2152 XBD=2329 XBD=2490 XHG=1355 XHG=1507 XHG=1599 XHG=1640 XHG=1858 XHG=2018 XHG=2059 XHG=2172 XHG=2349 XHG=2510 YBD=693 YBD=685 YBD=684 YHG=657>breath YHG=658>and YHG=657>radiogram YHG=657>showed YHG=666>a YHG=656>large YHG=656>rounded YHG=659>tumour YHG=656>in " XBD=1300 XBD=341 XBD=443 XBD=733 XBD=921 XHG=100 XHG=364 XHG=466 XHG=944 YBD=720 YBD=726 YBD=719 YBD=726 YHG=689>histological YHG=689>and YHG=689>radiographic YHG=689>features YHG=688>indistinguishable XBD=1418XHG=755 XBD=1501 XBD=1602 XBD=1709 XBD=1838 XBD=1916 XBD=2014 XBD=2052 XBD=2135 XBD=2263 XBD=2380 XHG=1357 XHG=1435 XHG=1518 XHG=1619 XHG=1726 XHG=1855 XHG=1934 XHG=2032 XHG=2070 XHG=2151 XHG=2281 YBD=733 YBD=725 YBD=724 YBD=726 YHG=696>the YHG=697>left YHG=697>lung YHG=697>from YHG=696>which YHG=696>she YHG=696>died YHG=705>a YHG=696>few YHG=697>weeks YHG=697>later. " XBD=1289 XBD=200 XHG=625 XBD=281 XBD=433 XBD=611 XBD=862 XBD=1023 XBD=1071 XBD=1151 XHG=100 XHG=216 XHG=294 XHG=443 XHG=874YBD=764 XHG=1031 XHG=1085 XHG=1166 YBD=758 YBD=762 YBD=766 YBD=765 YBD=758 YBD=759 YBD=766 YHG=729>from YHG=729>the YHG=729>others, YHG=729>produce YHG=730>metastases, YHG=728>usually YHG=728>in YHG=729>the YHG=729>lungs.

" XBD=1296 XBD=181 XHG=891 XBD=320 XBD=512 XBD=583 XBD=682 XBD=865 XBD=933 XBD=1114 XBD=1218 XHG=101 XHG=208 XHG=346 XHG=539 XHG=605 XHG=710 XHG=960YBD=798 XHG=1142 XHG=1245 YBD=797 YBD=797 YBD=797 YBD=798 YHG=769>The YHG=769>exact YHG=768>relation YHG=768>of YHG=768>this YHG=769>tumour YHG=769>to YHG=768>trauma YHG=769>and YHG=768>its

" " " " " " " "

XBD=1296XHG=719 XBD=289 XBD=603 XBD=683 XBD=931 XBD=1227 XHG=101 XHG=326 XHG=641 XHG=968YBD=844 XHG=1252 YBD=837 YBD=843 YBD=835 YBD=844 YBD=837 YHG=807>resultant YHG=807>subperiosteal YHG=816>or YHG=807>medullary YHG=808>haemorrhage YHG=807>is XBD=304 XHG=925 XBD=388 XBD=463 XBD=633 XBD=795 XBD=909 XBD=948 XBD=1106 XBD=1164 XBD=1226 XBD=1294 XHG=100 XHG=315 XHG=397 XHG=478 XHG=643 XHG=806 XHG=957YBD=876 XHG=1120 XHG=1176 XHG=1239 YBD=881 YBD=883 YBD=884 YBD=876 YHG=846>unknown, YHG=846>but YHG=846>the YHG=847>patient, YHG=846>usually YHG=847>gives YHG=856>a YHG=846>history YHG=846>of YHG=856>an YHG=847>inXBD=188 XHG=822 XBD=241 XBD=328 XBD=414 XBD=594 XBD=729 XBD=807 XBD=977 XBD=1060 XBD=1294 XHG=99 XHG=201 XHG=262 XHG=342 XHG=426 XHG=604 XHG=740 XHG=991 XHG=1074 YBD=923 YBD=915 YBD=916 YBD=923 YHG=886>jury YHG=887>to YHG=886>the YHG=885>site YHG=885>beneath YHG=885>which YHG=885>the YHG=886>tumour YHG=886>has YHG=886>developed. XBD=139 XHG=892 XBD=260 XBD=328 XBD=471 XBD=541 XBD=646 XBD=779 XBD=872 XBD=959 XBD=1088 XBD=1297 XHG=100 XHG=168 XHG=281 XHG=349 XHG=500 XHG=570 XHG=667 XHG=800 XHG=986YBD=954 XHG=1119 YBD=955 YBD=962 YBD=959 YBD=955 YBD=955 YHG=925>It YHG=934>may YHG=925>be YHG=925>found YHG=925>in YHG=934>any YHG=925>bone, YHG=925>but YHG=925>the YHG=926>most YHG=934>common XBD=191 XHG=880 XBD=274 XBD=361 XBD=733 XBD=859 XBD=922 XBD=1008 XBD=1141 XBD=1234 XBD=1300 XHG=98 XHG=212 XHG=295 XHG=381 XHG=753 XHG=942 XHG=1029 XHG=1160 XHG=1256 YBD=994 YBD=995 YBD=1002 YBD=994 YBD=994 YBD=994 YHG=964>sites YHG=973>are YHG=964>the YHG=973>areas YHG=965>at YHG=964>juxta-epiphyseal YHG=965>the YHG=965>lower YHG=964>end YHG=964>of XBD=166 XHG=717 XBD=314 XBD=603 XBD=693 XBD=853 XBD=1037 XBD=1191 XBD=1294 XHG=100 XHG=190 XHG=340 XHG=627 XHG=878YBD=1034 XHG=1062 XHG=1217 YBD=1041 YBD=1041 YBD=1034 YHG=1004>the YHG=1004>femur YHG=1003>(particularly YHG=1003>the YHG=1004>lateral YHG=1004>aspect), YHG=1004>radius YHG=1004>and XBD=207 XHG=852 XBD=307 XBD=370 XBD=454 XBD=596 XBD=689 XBD=754 XBD=833 XBD=950 XBD=1047 XBD=1196 XBD=1294 XHG=99 XHG=230 XHG=327 XHG=388 XHG=474 XHG=615 XHG=710 XHG=768 XHG=970 XHG=1067 XHG=1248 YBD=1079 YBD=1081 YBD=1073 YBD=1074 YBD=1073 YHG=1043>tibia, YHG=1043>and YHG=1044>at YHG=1052>upper YHG=1043>end YHG=1043>of YHG=1043>the YHG=1043>tibia YHG=1044>and YHG=1043>fibula. YHG=1043>In XBD=206 XHG=728 XBD=325 XBD=414 XBD=705 XBD=995 XBD=1140 XBD=1182 XBD=1293 XHG=99 XHG=234 XHG=347 XHG=438 XHG=1017 XHG=1163 XHG=1212 YBD=1114 YBD=1113 YBD=1112 YBD=1120 YBD=1113 YBD=1112 YBD=1114 YHG=1083>these YHG=1083>sites YHG=1083>the YHG=1084>radiographic YHG=1091>appearances, YHG=1083>which YHG=1083>I YHG=1083>des-

" XBD=1294 XBD=238 XHG=844 XBD=488 XBD=595 XBD=816 XBD=938 XBD=1033 XHG=100 XHG=270 XHG=517 XHG=625 XHG=967YBD=1153 XHG=1063 YBD=1157 YBD=1152 YBD=1152 YBD=1152 YHG=1123>cribed, YHG=1122>illustrated YHG=1123>and YHG=1122>discussed YHG=1122>with YHG=1123>the YHG=1122>differential

" XBD=987 XBD=1294XHG=836 XBD=293 XBD=352 XBD=400 XBD=563 XBD=730 XBD=815 XHG=101 XHG=311 XHG=377 XHG=421 XHG=584 XHG=753 XHG=1011 YBD=1198 YBD=1190 YBD=1191 YBD=1199 YBD=1192 YHG=1161>diagnosis YHG=1161>in YHG=1171>a YHG=1161>former YHG=1163>papery YHG=1171>are YHG=1162>usually YHG=1162>characteristic " XBD=1294 XBD=178 XHG=516 XBD=317 XBD=418 XBD=500 XBD=761 XBD=999 XBD=1092 XHG=776 XHG=101 XHG=193 XHG=333 XHG=434 XHG=1016 XHG=1108 YBD=1237 YBD=1231 YBD=1239 YBD=1238 YBD=1238 YHG=1201>and YHG=1201>rarely YHG=1201>give YHG=1202>the YHG=1201>experienced YHG=1201>radiologist YHG=1210>any YHG=1202>difficulty " XBD=1294 XBD=140 XHG=757 XBD=410 XBD=497 XBD=558 XBD=645 XBD=738 XBD=933 XBD=1037 XBD=1146 XBD=1207 XHG=99 XHG=160 XHG=425 XHG=517 XHG=579 XHG=666 XHG=947 XHG=1052 XHG=1166 XHG=1226 YBD=1270 YBD=1277 YBD=1270 YBD=1271 YBD=1278 YBD=1271 YBD=1270 YHG=1241>in YHG=1240>recognition, YHG=1241>but YHG=1241>in YHG=1241>the YHG=1241>less YHG=1240>frequent YHG=1241>sites YHG=1241>such YHG=1250>as YHG=1241>the

" XBD=1293 XBD=295 XHG=917 XBD=388 XBD=582 XBD=678 XBD=824 XBD=893 XBD=983 XBD=1128 XBD=1200 XHG=100 XHG=321 XHG=413 XHG=612 XHG=704 XHG=851 XHG=1010YBD=1310 XHG=1156 XHG=1227 YBD=1315 YBD=1317 YBD=1318 YBD=1311 YBD=1310YHG=1281>the YHG=1279>vertebrae, YHG=1280>the YHG=1281>scapula, YHG=1280>pelvis YHG=1277>or YHG=1281>bones YHG=1280>of YHG=1281>the " " " "

XBD=1293XHG=897 XBD=222 XBD=328 XBD=443 XBD=538 XBD=757 XBD=873 XBD=967 XBD=1041 XHG=99 XHG=250 XHG=353 XHG=471 XHG=566 XHG=782 XHG=993 XHG=1063 YBD=1350 YBD=1355 YBD=1358 YBD=1350 YBD=1350 YBD=1350 YHG=1320>hands YHG=1320>and YHG=1320>feet, YHG=1320>the YHG=1320>diagnosis YHG=1330>may YHG=1321>not YHG=1320>be YHG=1320>established XBD=196 XHG=780 XBD=314 XBD=398 XBD=574 XBD=708 XBD=758 XBD=980 XBD=1291 XHG=100 XHG=214 XHG=332 XHG=417 XHG=591 XHG=727 XHG=1000 YBD=1390 YBD=1398 YHG=1369>even YHG=1360>after YHG=1360>the YHG=1360>tumour YHG=1360>tissue YHG=1360>is YHG=1360>examined YHG=1360>histologically. XBD=213 XHG=873 XBD=267 XBD=412 XBD=485 XBD=575 XBD=777 XBD=850 XBD=939 XBD=1159 XBD=1291 XHG=99 XHG=242 XHG=294 XHG=441 XHG=508 XHG=602 XHG=806 XHG=966 XHG=1187 YBD=1430 YBD=1438 YBD=1430 YBD=1437 YBD=1430 YHG=1399>From YHG=1410>a YHG=1400>study YHG=1400>of YHG=1400>histories YHG=1401>of YHG=1401>the YHG=1400>following YHG=1410>cases XBD=335 XHG=781 XBD=415 XBD=542 XBD=768 XBD=999 XHG=97 YBD=1477 XHG=351 XHG=428 XHG=556 YBD=1477YHG=1440>suggestions YBD=1470 YHG=1449>are YHG=1440>made YHG=1440>respecting YHG=1440>treatment.

" XBD=842 XHG=546 YBD=1526 YHG=1502>CASE-RECORDS

" XBD=2536 XBD=1400 XHG=2329 XBD=1534 XBD=1577 XBD=1682 XBD=1735 XBD=1827 XBD=2076 XBD=2270 XBD=2315 XHG=1349 YBD=1558 XHG=1420 XHG=1558 XHG=1623 XHG=1698 XHG=1757 XHG=1864 XHG=2090 XHG=2285 YBD=1559 YHG=1533>osteoclastoma YBD=1555 YBD=1561 YBD=1556 YHG=1533>Fig. YHG=1532>I--Case YHG=1531>I. YHG=1532>Feb. YHG=1532>14, YHG=1532>1940. YHG=1532>Characteristic YHG=1539>appearances YHG=1532>of

" XBD=1288 XBD=238 XBD=373 XBD=552 XBD=672 XBD=756 XBD=861 XBD=926 XHG=144 XHG=266 XHG=401 XHG=584 XHG=704 XHG=788 XHG=956 XHG=1193 YBD=1580 YBD=1577 YBD=1572 YBD=1571 YBD=1577 YBD=1577 YHG=1542>CASE YHG=1543>1.-A YHG=1552>woman, YHG=1543>aged YHG=1543>23, YHG=1543>late YHG=1543>in YHG=1543>December, YHG=1543>1939, " XBD=1158 XBD=1412XHG=889 XBD=1507 XBD=1678 XBD=1720 XBD=1803 XBD=1896 XHG=1382 XHG=1422 XHG=1519 XHG=1690 XHG=1729 XHG=1819 YBD=1586 YBD=1584 YBD=1585 YHG=1563>of YHG=1568>outer YHG=1562>two-thirds YHG=1561>of YHG=1561>tibial YHG=1562>head. " XBD=2535 XBD=319 XHG=801 XBD=375 XBD=471 XBD=523 XBD=600 XBD=733 XBD=790 XBD=863 XBD=971 XBD=1202 XBD=1290 XHG=876 XHG=99 XHG=335 XHG=385 XHG=486 XHG=538 XHG=614 XHG=749 XHG=986 XHG=1217 YBD=1619 YBD=1620 YBD=1611 YBD=1619 YBD=1611 YBD=1611 YHG=1583>complained YHG=1583>pain YHG=1583>in YHG=1583>the YHG=1582>region YHG=1583>of YHG=1583>her YHG=1583>right YHG=1582>knee YHG=1593>was which " XBD=1400 XBD=1535 XBD=1571 XBD=1674 XBD=1710 XBD=1799 XBD=1910 XBD=2046 XBD=2168 XBD=2265 XBD=2367 XHG=1349 XHG=1412 XHG=1553 XHG=1600 XHG=1685 XHG=1729 XHG=1829 XHG=1924 XHG=2060 XHG=2179 XHG=2279 XHG=2379 YBD=1622 YBD=1619 YBD=1616 YBD=1621 YBD=1617 YHG=1593>Fig. YHG=1592>II-Case YHG=1592>I. YHG=1592>Sept. YHG=1592>7, YHG=1592>1942. YHG=1592>Large YHG=1593>rounded YHG=1594>opacity YHG=1592>filling YHG=1599>upper YHG=1594>two-thirds " XBD=1636 XBD=1412 XBD=1474 XBD=1550 XHG=1381 XHG=1424 XHG=1487 XHG=1562 YBD=1651 YBD=1646 YHG=1622>of YHG=1623>left YHG=1623>lung YHG=1622>field. " XBD=250 XHG=866 XBD=332 XBD=488 XBD=598 XBD=748 XBD=854 XBD=927 XBD=1100 XBD=1144 XBD=1180 XBD=1289 XHG=99 XHG=296 XHG=346 XHG=501 XHG=611 XHG=761 XHG=941 XHG=1114 XHG=1158 XHG=1192 YBD=1651 YBD=1659 YBD=1650 YBD=1651 YBD=1651 YBD=1650 YBD=1651 YHG=1622>swollen. YHG=1622>It YHG=1622>became YHG=1632>more YHG=1622>painful YHG=1622>after YHG=1622>she YHG=1622>knocked YHG=1623>it YHG=1632>a YHG=1623>week

" " " " " " " "

XBD=1287XHG=882 XBD=139 XBD=193 XBD=311 XBD=413 XBD=513 XBD=585 XBD=701 XBD=779 XBD=865 XBD=959 XBD=1013 XBD=1085 XBD=1155 XHG=100 XHG=154 XHG=209 XHG=359 XHG=429 XHG=535 XHG=606 XHG=718 XHG=795 XHG=975YBD=1691 XHG=1030 XHG=1102 XHG=1172 YBD=1696 YBD=1691 YBD=1691YHG=1664>sent YBD=1698 YHG=1672>or YHG=1672>so YHG=1662>later. YHG=1658>On YHG=1662>Feb. YHG=1663>14, YHG=1663>1940, YHG=1662>she YHG=1672>was YHG=1665>to YHG=1672>me YHG=1662>for YHG=1662>X-ray XBD=1486 XBD=1621 XBD=1734 XBD=1846 XBD=1921 XBD=2164 XBD=2227 XBD=2400 XBD=2461 XBD=2536 XHG=1392 XHG=1512 XHG=1640 XHG=1759 XHG=1869 XHG=1945 XHG=2186 XHG=2244 XHG=2421 XHG=2476 YBD=1731 YBD=1732 YBD=1726 YBD=1735 YBD=1727 YBD=1728 YHG=1698>CASE YHG=1698>3.-A YHG=1706>man, YHG=1698>aged YHG=1699>24, YHG=1698>complained YHG=1698>of YHG=1698>swelling YHG=1699>of YHG=1698>the XBD=349 XHG=841 XBD=464 XBD=572 XBD=666 XBD=709 XBD=820 XBD=994 XBD=1062 XBD=1144 XBD=1292 XHG=99 XHG=397 XHG=485 XHG=594 XHG=687 XHG=730 XHG=1016 XHG=1082 XHG=1166 YBD=1731 YBD=1730 YBD=1739 YBD=1730 YHG=1702>examination. YHG=1702>She YHG=1702>then YHG=1702>had YHG=1711>a YHG=1702>hard YHG=1702>swelling YHG=1712>on YHG=1703>the YHG=1697>lateral XBD=1471 XBD=1609 XBD=1666 XBD=1740 XBD=1860 XBD=1943 XBD=2001 XBD=2074 XBD=2204 XBD=2257 XBD=2422 XBD=2535 XHG=1344 XHG=1488 XHG=1627 XHG=1678 XHG=1756 XHG=1876 XHG=1961 XHG=2012 XHG=2090 XHG=2220 XHG=2273 XHG=2444 YBD=1766 YBD=1775 YBD=1772 YHG=1737>lateral YHG=1740>aspect YHG=1737>the YHG=1738>lower YHG=1739>end YHG=1738>of YHG=1738>the YHG=1738>femur YHG=1738>in YHG=1738>August, YHG=1739>1920, XBD=219 XHG=867 XBD=283 XBD=364 XBD=500 XBD=591 XBD=654 XBD=734 XBD=846 XBD=981 XBD=1074 XBD=1291 XHG=99 XHG=243 XHG=301 XHG=386 XHG=522 XHG=614 XHG=672 XHG=757 XHG=1003 XHG=1097 YBD=1780 YBD=1779 YBD=1770 YBD=1770 YHG=1745>aspect YHG=1751>upper YHG=1742>end YHG=1742>of YHG=1742>the YHG=1742>tibia YHG=1742>which YHG=1752>was YHG=1742>somewhat XBD=1447 XBD=1483 XBD=1695 XBD=1848 XBD=1883 XBD=2030 XBD=2325 XBD=2454 XBD=2536 XHG=1345 XHG=1462 XHG=1497 XHG=1708 XHG=1862 XHG=1897 XHG=2044 XHG=2373 XHG=2467 YBD=1814 YBD=1806 YBD=1815 YBD=1807 YHG=1777>when YHG=1777>radiogram YHG=1778>showed YHG=1787>a YHG=1778>typical YHG=1777>osteoclastoma. YHG=1777>This YHG=1787>was XBD=222 XHG=915 XBD=273 XBD=457 XBD=540 XBD=617 XBD=851 XBD=906 XBD=978 XBD=1187 XBD=1290 XHG=98 XHG=235 XHG=289 XHG=474 XHG=554 XHG=631 XHG=866 XHG=992 XHG=1201 YBD=1811 YBD=1819 YBD=1809 YBD=1810 YBD=1818 YBD=1810 YHG=1782>tender YHG=1785>to YHG=1791>pressure, YHG=1782>but YHG=1781>the YHG=1784>movements YHG=1782>of YHG=1782>the YHG=1782>knee-joint YHG=1791>were XBD=1485XHG=799 XBD=1557 XBD=1669 XBD=1873 XBD=1968 XBD=2239 XBD=2303 XBD=2385 XBD=2536 XHG=1343 XHG=1509 XHG=1580 XHG=1693 XHG=1898 XHG=1992 XHG=2263 XHG=2321 XHG=2408 YBD=1854 YBD=1846 YBD=1855 YHG=1818>treated YHG=1817>by YHG=1817>local YHG=1820>curettage YHG=1818>and YHG=1817>carbolisation YHG=1818>of YHG=1818>the YHG=1817>cavity. XBD=162 XBD=360 XBD=425 XBD=606 XBD=705 XBD=782 XBD=996 XBD=1085 XBD=1131 XBD=1291 XHG=98 XHG=178 XHG=406 XHG=441 XHG=621 XHG=720 XHG=1015 XHG=1104 XHG=1150 YBD=1850 YBD=1859 YBD=1850 YBD=1849 YBD=1858 YBD=1858 YBD=1857 YBD=1850 YHG=1825>not YHG=1821>impaired. YHG=1822>I YHG=1821>reported YHG=1821>that YHG=1821>the YHG=1821>radiogram YHG=1822>(fig. YHG=1822>i) YHG=1822>showed XBD=1418 XBD=1572 XBD=1657 XBD=1883 XBD=1975 XBD=2080 XBD=2309 XBD=2423 XBD=2537 XHG=1344 XHG=1432 XHG=1586 XHG=1672 XHG=1897 XHG=1987 XHG=2094 XHG=2329 XHG=2439 YBD=1895 YBD=1886 YBD=1894 YBD=1891 YBD=1885 YHG=1857>The YHG=1856>patient YHG=1866>was YHG=1857>apparently YHG=1857>well YHG=1858>until YHG=1857>September, YHG=1858>1935, YHG=1857>when XBD=120 XHG=937 XBD=269 XBD=557 XBD=615 XBD=688 XBD=829 XBD=924 XBD=976 XBD=1050 XBD=1158 XBD=1216 XBD=1291 XHG=99 XHG=137 XHG=287 XHG=576 XHG=627 XHG=704 XHG=845 XHG=988 XHG=1067 XHG=1176 XHG=1228 YBD=1890 YBD=1899 YBD=1890 YBD=1889 YBD=1889 YBD=1890 YBD=1889 YHG=1871>a YHG=1862>typical YHG=1861>osteoclastoma YHG=1861>the YHG=1861>lateral YHG=1861>half YHG=1861>of YHG=1861>the YHG=1861>head YHG=1862>of YHG=1861>the XBD=1389XHG=692 XBD=1626 XBD=1680 XBD=1713 XBD=1864 XBD=2034 XBD=2085 XBD=2161 XBD=2272 XBD=2380 XBD=2462 XBD=2535 XHG=1345 XHG=1405 XHG=1641 XHG=1692 XHG=1728 XHG=1879 XHG=2049 XHG=2099 XHG=2177 XHG=2288 XHG=2426 XHG=2474 YBD=1934 YBD=1926 YBD=1925 YBD=1924 YBD=1933 YHG=1897>he YHG=1896>complained YHG=1897>of YHG=1906>a YHG=1896>painful YHG=1896>swelling YHG=1897>in YHG=1897>the YHG=1906>same YHG=1906>area. YHG=1896>X YHG=1906>ray XBD=196 XBD=314 XBD=483 XBD=679 XBD=869 XBD=1008 XBD=1081 XBD=1181 XBD=1291 XHG=97 XHG=242 XHG=328 XHG=496 XHG=883 XHG=1020 XHG=1094 XHG=1194 YBD=1930 YBD=1930 YBD=1938 YBD=1937 YBD=1929 YBD=1937 YBD=1929 YHG=1902>tibia. YHG=1902>The YHG=1901>swelling YHG=1901>markedly YHG=1901>increased YHG=1901>during YHG=1901>the YHG=1904>next YHG=1902>week XBD=1391XHG=820 XBD=1516 XBD=1596 XBD=1722 XBD=1890 XBD=1962 XBD=2161 XBD=2388 XBD=2454 XBD=2536 XHG=1345 XHG=1418 XHG=1547 XHG=1629 XHG=1750 XHG=1916 XHG=1988 XHG=2187 XHG=2415 XHG=2476 YBD=1974 YBD=1969 YBD=1973 YBD=1965 YBD=1964 YHG=1946>on YHG=1936>Sept. YHG=1937>19, YHG=1937>1935, YHG=1936>showed YHG=1945>an YHG=1939>apparent YHG=1945>recurrence YHG=1936>of YHG=1936>the XBD=168 XBD=242 XBD=475 XBD=599 XBD=806 XBD=960 XBD=1169 XBD=1290 XHG=98 XHG=181 XHG=256 XHG=488 XHG=612 XHG=973 XHG=1216 YBD=1969 YBD=1969 YBD=1980 YBD=1977 YBD=1968 YBD=1969 YBD=1968 YHG=1941>and YHG=1941>the YHG=1943>movements YHG=1941>of YHG=1940>knee-joint YHG=1940>became YHG=1941>restricted. YHG=1941>The the

" XBD=2419 XBD=2536 XBD=1499 XBD=1596 XBD=1692 XBD=1793 XBD=2013 XBD=2087 XBD=2209 XBD=2294 XHG=1343 XHG=1525 XHG=1621 XHG=1721 XHG=1817 XHG=2043 XHG=2118 XHG=2241 XHG=2325 XHG=2465 YBD=2009 YBD=2004 YBD=2003 YHG=1978>tumour, YHG=1976>and YHG=1975>this YHG=1984>was YHG=1976>excavated YHG=1985>on YHG=1976>Nov. YHG=1976>31, YHG=1976>1935. YHG=1975>The XBD=200 XHG=876 XBD=316 XBD=411 XBD=602 XBD=672 XBD=781 XBD=849 XBD=946 XBD=992 XBD=1104 XBD=1291 XHG=972 XHG=98 XHG=224 XHG=340 XHG=436 XHG=627 XHG=697 XHG=809 XHG=1017 XHG=1128 YBD=2009 YBD=2009 YBD=2017 YBD=2010 YBD=2008 YBD=2017 YBD=2008 YHG=1981>tibial YHG=1980>head YHG=1989>was YHG=1976>explored YHG=1989>on YHG=1980>Feb. YHG=1981>27 YHG=1981>and YHG=1989>a YHG=1989>very YHG=1980>vascular

" XBD=2568 XBD=1574 XBD=1705 XBD=1789 XBD=2126 XBD=2246 XBD=2343 XHG=1344 XHG=1587 XHG=1718 XHG=1801 XHG=2172 XHG=2259 XHG=2355 YBD=2053 YBD=2044 YBD=2043 YBD=2052 YBD=2054 YHG=2015>histologist’s YHG=2018>report YHG=2024>was YHG=2005>chondrosarcoma. YHG=2016>The YHG=2015>pain YHG=2015>persisted, XBD=239 XHG=825 XBD=367 XBD=406 XBD=472 XBD=529 XBD=719 XBD=806 XBD=987 XBD=1096 XBD=1176 XBD=1290 XHG=97 XHG=258 XHG=388 XHG=426 XHG=492 XHG=548 XHG=736 XHG=1005 XHG=1113 XHG=1194 YBD=2049 YBD=2049 YBD=2048 YBD=2048 YBD=2056 YHG=2023>tumour YHG=2020>about YHG=2021>3 YHG=2021>in. YHG=2020>in YHG=2020>diameter YHG=2029>was YHG=2020>curetted YHG=2019>from YHG=2020>the YHG=2020>bony

" XBD=2532 XBD=1416 XBD=1496 XBD=1600 XBD=1689 XBD=1919 XBD=1983 XBD=2092 XBD=2143 XBD=2261 XBD=2362 XBD=2473 XHG=1345 XHG=1433 XHG=1515 XHG=1619 XHG=1707 XHG=1937 XHG=2001 XHG=2113 XHG=2167 XHG=2309 XHG=2382 XHG=2495 YBD=2084 YBD=2092 YBD=2089 YBD=2083 YBD=2082 YHG=2055>and YHG=2055>the YHG=2055>limb YHG=2064>was YHG=2056>amputated YHG=2064>on YHG=2056>4, YHG=2055>1936. YHG=2055>On YHG=2055>June YHG=2055>12 XBD=228 XHG=688 XBD=301 XBD=408 XBD=460 XBD=580 XBD=677 XBD=893 XBD=1106 XBD=1291 XHG=98 XHG=240 XHG=312 XHG=420 XHG=465 XHG=589 XHG=905 XHG=1128 YBD=2097 YBD=2088 YBD=2088 YBD=2088 YHG=2060>cavity, YHG=2060>the YHG=2060>walls YHG=2060>of YHG=2060>which YHG=2069>were YHG=2060>afterwards YHG=2059>carbolised. YHG=2060>Material XBD=1366 XBD=1485 XBD=1691 XBD=1850 XBD=1935 XBD=2118 XBD=2169 XBD=2247 XBD=2367 XBD=2444 XHG=1345 XHG=1382 XHG=1501 XHG=1707 XHG=1865 XHG=1952 XHG=2133 XHG=2185 XHG=2262 XHG=2380 XHG=2459 YBD=2132 YBD=2124 YBD=2123 YHG=2104>a YHG=2095>small YHG=2095>secondary YHG=2097>tumour YHG=2104>was YHG=2095>detected YHG=2096>in YHG=2095>the YHG=2095>lower YHG=2095>left YHG=2095>lobe "|>"XBD=2536 XBD=188 XBD=455 XBD=683 XBD=769 XBD=1019 XBD=1290 XBD=280XHG=715 XHG=97 XHG=312 XHG=486 XHG=800 XHG=1050 XHG=201 YBD=2128 YBD=2129 YBD=2128 YBD=2136 YBD=2141 YBD=2128 YHG=2100>from YHG=2102>tumour YHG=2100>submitted YHG=2100>for YHG=2099>histological YHG=2100>the YHG=2100>examination " XBD=2343 |>" XBD=1385 XBD=1462 XBD=1574 XBD=1694 XBD=1851 XBD=1951 XBD=2005 XBD=2225 XBD=2489 XHG=1345 XHG=1398 XHG=1478 XHG=1621 XHG=1710 XHG=1870 XHG=1969 XHG=2023 XHG=2248 XHG=2483 YBD=2164 YBD=2172 YBD=2168 YBD=2163 YBD=2163 YHG=2135>of YHG=2136>the YHG=2136>lung. YHG=2135>The YHG=2135>patient YHG=2135>died YHG=2136>in YHG=2135>December, YHG=2135>1936. YHG=2156>, XBD=237 XBD=325 XBD=481 XBD=663 XBD=729 XBD=798 XBD=1094 XBD=1191 XBD=1289 XHG=99 XHG=263 XHG=350 XHG=510 XHG=689 XHG=752 XHG=824 XHG=1121 XHG=1217 YBD=2168 YBD=2177 YBD=2169 YBD=2168 YBD=2168 YHG=2139>showed YHG=2139>the YHG=2140>typical YHG=2140>features YHG=2140>of YHG=2149>an YHG=2140>osteoclastoma YHG=2140>and YHG=2149>was XBD=263 XBD=335 XBD=399 XBD=523 XBD=638 XBD=725 XBD=836 XBD=883 XBD=1024 XBD=1078 XBD=1176 XBD=1289 XHG=98 XHG=290 XHG=361 XHG=425 XHG=569 XHG=663 XHG=750 XHG=865 XHG=910 XHG=1049 XHG=1104 XHG=1202 YBD=2216 YBD=2208 YBD=2207 YBD=2208 YBD=2207 YBD=2208 YBD=2216 YHG=2180>reported YHG=2189>on YHG=2189>as YHG=2180>such. YHG=2180>For YHG=2180>the YHG=2183>next YHG=2181>6 YHG=2180>weeks YHG=2180>it YHG=2189>was YHG=2180>kept |>" " XBD=1617 XBD=1738 XBD=1846 XBD=1921 XBD=2161 XBD=2221 XBD=2408 XBD=2456 XBD=2534 XBD=1483 XHG=1509 XHG=1644 XHG=1760 XHG=1868 XHG=1942 XHG=2182 XHG=2246 XHG=2420 XHG=2475 XHG=1389 YBD=2213 YBD=2217 YBD=2222 YBD=2218 YBD=2221 YBD=2220 YBD=2211 YBD=2212 YBD=2213 YHG=2185>4.-A YHG=2194>man, YHG=2185>aged YHG=2185>21, YHG=2184>complained YHG=2184>of YHG=2184>swelling’ YHG=2183>in YHG=2184>the YHG=2184>CASE " XBD=1288 XBD=329 XBD=384 XBD=547 XBD=669 XBD=759 XBD=848 XBD=1043 XBD=1144 XBD=1246 XHG=99 XHG=348 XHG=403 XHG=567 XHG=688 XHG=867 XHG=1091 XHG=1163 XHG=1270 YBD=2247 YBD=2247 YBD=2257 YBD=2248 YBD=2247 YBD=2248 YBD=2256 YBD=2247 YHG=2218>immobilised YHG=2219>in YHG=2220>plaster, YHG=2220>when YHG=2219>this YHG=2229>was YHG=2219>removed. YHG=2219>On YHG=2220>May YHG=2220>8 XBD=1462XHG=777 XBD=1528 XBD=1619 XBD=1855 XBD=1993 XBD=2167 XBD=2230 XBD=2375 XBD=2430 XBD=2534 XHG=1342 XHG=1488 XHG=1558 XHG=1646 XHG=1881 XHG=2030 XHG=2193 XHG=2258 XHG=2409 XHG=2456 YBD=2261 YBD=2252 YBD=2251 YHG=2224>region YHG=2225>of YHG=2224>the YHG=2224>ankle-joint YHG=2224>which YHG=2224>seemed YHG=2227>to YHG=2224>follow YHG=2233>a YHG=2223>kick " XBD=121 XBD=343 XBD=411 XBD=495 XBD=610 XBD=777 XBD=940 XBD=1126 XBD=1200 XHG=99 XHG=147 XHG=372 XHG=434 XHG=521 XHG=637 XHG=803 XHG=965 XHG=1152 XHG=1227 YBD=2286 YBD=2295 YBD=2288 YBD=2287 YBD=2287 YBD=2296 YBD=2286 YHG=2267>a YHG=2259>radiogram YHG=2260>of YHG=2260>the YHG=2259>tibia YHG=2259>showed YHG=2259>further YHG=2259>invasion YHG=2259>by YHG=2259>the |>"XBD=1289 XBD=1445 XBD=1604 XBD=1768 XBD=1817 XBD=1925 XBD=2039 XBD=2117 XBD=2329 XBD=2487 XBD=2554 XBD=2390 XHG=1342 XHG=1460 XHG=1618 XHG=1781 XHG=1831 XHG=1944 XHG=2085 XHG=2130 XHG=2404 XHG=2506 XHG=2339 YBD=2303 YBD=2292 YBD=2300 YBD=2291 YBD=2291 YHG=2264>while YHG=2263>playing YHG=2263>football YHG=2264>in YHG=2264>May, YHG=2265>1932. YHG=2264>A YHG=2263>radiogram YHG=2264>Dec. YHG=2263>I YHG=2264>on XBD=241 XHG=851 XBD=328 XBD=365 XBD=581 XBD=637 XBD=717 XBD=832 XBD=991 XBD=1052 XBD=1234 XBD=1292 XHG=99 XHG=257 XHG=345 XHG=381 XHG=598 XHG=655 XHG=735 XHG=1006 XHG=1070 XHG=1252 YBD=2326 YBD=2335 YBD=2327 YBD=2326 YHG=2300>tumour YHG=2299>and YHG=2309>a YHG=2299>radiogram YHG=2299>of YHG=2299>the YHG=2299>chest YHG=2299>showed YHG=2308>no YHG=2298>evidence YHG=2298>of " XBD=2534 XBD=1441 XBD=1600 XBD=1637 XBD=1787 XBD=2073 XBD=2129 XBD=2203 XBD=2323 XBD=2413 XBD=2463 XHG=1347 XHG=1460 XHG=1617 XHG=1653 XHG=1803 XHG=2090 XHG=2142 XHG=2218 XHG=2339 XHG=2424 XHG=2475 YBD=2337 YBD=2340 YBD=2332 YBD=2331 YBD=2330 YHG=2304>1932, YHG=2303>showed YHG=2313>a YHG=2303>typical YHG=2303>osteoclastoma YHG=2303>the YHG=2303>lower YHG=2303>end’ YHG=2303>of YHG=2302>the XBD=323 XHG=641 XBD=443 XBD=542 XBD=626 XBD=850 XBD=1015 XBD=1088 XBD=1203 XBD=1289 XHG=98 XHG=371 XHG=456 XHG=555 XHG=861 XHG=1027 XHG=1101 XHG=1217 YBD=2367 YBD=2367 YBD=2375 YBD=2375 YBD=2366 YBD=2374 YBD=2365 YHG=2338>secondaries. YHG=2338>The YHG=2339>limb YHG=2348>was YHG=2338>amputated YHG=2339>through YHG=2338>the YHG=2338>thigh YHG=2338>and " XBD=2534 XBD=1444 XBD=1587 XBD=1731 XBD=1915 XBD=2016 XBD=2146 XBD=2212 XBD=2438 XHG=1344 XHG=1491 XHG=1618 XHG=1766 XHG=1944 XHG=2044 XHG=2175 XHG=2246 XHG=2466 YBD=2380 YBD=2371 YBD=2379 YBD=2370 YHG=2342>tibia. YHG=2343>Deep YHG=2343>X-ray YHG=2343>therapy YHG=2352>was YHG=2343>given YHG=2343>in YHG=2342>December YHG=2342>and XBD=159 XHG=845 XBD=345 XBD=394 XBD=510 XBD=543 XBD=647 XBD=832 XBD=910 XBD=1073 XBD=1146 XBD=1289 XHG=98 XHG=170 XHG=356 XHG=406 XHG=523 XHG=555 XHG=657 XHG=921 XHG=1084 XHG=1157 YBD=2405 YBD=2414 YBD=2415 YBD=2406 YBD=2406 YBD=2405 YHG=2377>she YHG=2379>appeared YHG=2381>to YHG=2378>make YHG=2388>a YHG=2378>good YHG=2387>recovery, YHG=2378>but YHG=2378>towards YHG=2378>the YHG=2377>middle " XBD=2533 XBD=1514 XBD=1629 XBD=1756 XBD=1915 XBD=2020 XBD=2095 XBD=2265 XBD=2352 XHG=1343 XHG=1535 XHG=1675 XHG=1771 XHG=1928 XHG=2034 XHG=2110 XHG=2279 XHG=2366 YBD=2418 YBD=2411 YBD=2419 YBD=2410 YHG=2382>January, YHG=2383>1932. YHG=2383>Two YHG=2383>months YHG=2382>later YHG=2382>the YHG=2382>swelling YHG=2382>had YHG=2382>considerXBD=139 XHG=862 XBD=295 XBD=407 XBD=483 XBD=609 XBD=659 XBD=848 XBD=901 XBD=1087 XBD=1140 XBD=1287 XHG=99 XHG=147 XHG=313 XHG=422 XHG=496 XHG=621 XHG=674 XHG=910 XHG=1101 XHG=1150 YBD=2445 YBD=2451 YBD=2446 YBD=2454 YBD=2455 YBD=2445 YBD=2445 YBD=2445 YHG=2417>of YHG=2418>August, YHG=2418>1942, YHG=2418>she YHG=2418>began YHG=2420>to YHG=2419>complain YHG=2418>of YHG=2418>shortness YHG=2417>of YHG=2417>breath. " XBD=2532 XBD=1427 XBD=1645 XBD=1699 XBD=1915 XBD=2076 XBD=2179 XBD=2264 XHG=1342 XHG=1446 XHG=1679 XHG=1716 XHG=1936 XHG=2096 XHG=2201 XHG=2283 YBD=2454 YBD=2450 YBD=2449 YBD=2458 YHG=2421>ably YHG=2422>increased YHG=2431>a YHG=2421>radiogram YHG=2421>showed YHG=2422>that YHG=2422>the YHG=2420>subperiosteal ; " XBD=2532 XBD=1470 XHG=2368 XBD=1555 XBD=1630 XBD=1760 XBD=1959 XBD=2086 XBD=2203 XBD=2260 XBD=2355 XHG=1343 XHG=1484 XHG=1567 XHG=1643 XHG=1773 XHG=1973 XHG=2100 XHG=2217 XHG=2273 YBD=2488 YBD=2489 YBD=2497 YHG=2461>border YHG=2462>and YHG=2461>the YHG=2470>coarse YHG=2461>trabeculae YHG=2461>which YHG=2461>could YHG=2461>be YHG=2469>seen 1. Brit. J. Radiol. YHG=2461>through1937, 10, 171. " XBD=2533 XBD=1407 XHG=2385 XBD=1486 XBD=1645 XBD=1742 XBD=1803 XBD=1880 XBD=2110 XBD=2236 XBD=2370 XHG=1344 YBD=2537 XHG=1424 XHG=1502 XHG=1661 XHG=1758 XHG=1819 XHG=1896 XHG=2127 XHG=2251 YBD=2529 YHG=2500>therapy YBD=2536 YBD=2528 YHG=2503>out YHG=2500>the YHG=2503>tumour YHG=2510>area YHG=2510>on YHG=2501>the YHG=2501>radiograms YHG=2500>taken YHG=2501>before " XBD=2532 XBD=1415 XHG=2496 XBD=1520 XBD=1743 XBD=1930 XBD=2017 XBD=2092 XBD=2198 XBD=2292 XBD=2481 XHG=1344 YBD=2567 XHG=1432 XHG=1535 XHG=1760 XHG=1946 XHG=2032 XHG=2109 XHG=2213 XHG=2307 YBD=2568 YHG=2542>to YBD=2576 YHG=2539>had YHG=2540>been YHG=2540>completely YHG=2540>absorbed YHG=2540>and YHG=2540>the YHG=2540>bone YHG=2549>now YHG=2539>appeared " XBD=2532 XBD=1435 XHG=2367 XBD=1540 XBD=1652 XBD=1887 XBD=2066 XBD=2186 XBD=2352 XHG=1343 YBD=2616 XHG=1452 XHG=1557 XHG=1669 XHG=1903 XHG=2113 XHG=2203 YBD=2608 YHG=2579>regarded YBD=2607 YBD=2615 YHG=2579>have YHG=2580>been YHG=2588>more YHG=2579>extensively YHG=2579>invaded. YHG=2579>The YHG=2588>surgeon " XBD=2533 XBD=1414 XBD=1481 XBD=1671 XBD=1738 XBD=1936 XBD=2115 XBD=2178 XBD=2266 XBD=2445 XHG=1341 XHG=1441 XHG=1507 XHG=1698 XHG=1759 XHG=1963 XHG=2141 XHG=2203 XHG=2292 YBD=2655 YBD=2652 YBD=2646 YHG=2618>this YHG=2628>as YHG=2618>evidence YHG=2619>of YHG=2618>increased YHG=2619>activity YHG=2618>in YHG=2618>the YHG=2620>tumour, YHG=2619>the N. (1940) Ann. intern. Med. Carey. T. XHG=2473 13, 740. W. F. and B. (1941) Med. surg. J. (New Drummond, Tooke, T. YHG=2657>radia" XBD=2532 XBD=1481 XBD=1536 XBD=1660 XBD=1746 XBD=1971 XBD=2074 XBD=2295 XBD=2359 XBD=2410 XHG=1341 XHG=1496 XHG=1547 XHG=1675 XHG=1761 XHG=1986 XHG=2088 XHG=2310 XHG=2373 XHG=2422 YBD=2685 YBD=2694 YBD=2686 YHG=2657>growth YHG=2658>of YHG=2657>which YHG=2657>had YHG=2658>apparently YHG=2658>been YHG=2658>stimulated YHG=2658>by YHG=2657>X 94, 11. YBD=2725 Orleans), " XBD=2531 XBD=1430 XBD=1713 XBD=1816 XBD=2047 XBD=2116 XBD=2281 XBD=2413 XHG=1342 XHG=1477 XHG=1745 XHG=1849 XHG=2080 XHG=2149 XHG=2320 YBD=2726 YBD=2734 YBD=2733 YBD=2724 YBD=2730 YHG=2697>tion. YHG=2696>Amputation YHG=2706>was YHG=2697>performed YHG=2697>in YHG=2688>March, YHG=2697>1933. YHG=2697>The L. S. (1904) Amer. J. med. Sci. 137, 134. Dudgeon, XHG=2460 " XBD=2532 XBD=1563 XBD=1706 XBD=1778 XBD=1865 XBD=2035 XBD=2166 XBD=2300 XHG=1342 XHG=1587 XHG=1733 XHG=1804 XHG=1892 XHG=2060 XHG=2193 YBD=2764 YBD=2771 YHG=2736>histological YHG=2739>report YHG=2745>on YHG=2736>the YHG=2739>tumour YHG=2737>tissue YHG=2737>read YHG=2736>&dquo; : Nothing med. J. ii, 218. Fox, I. S. XHG=2343 (1942) Brit. YBD=2772 C. (1918)YBD=2804 Jb. Kinderheilk. Friderichsen, 87, 109. " XBD=2530 XBD=1540 XBD=1595 XBD=1652 XBD=1832 XBD=2024 XBD=2182 XBD=2269 XBD=2375 XBD=2452 XHG=1341 XHG=1556 XHG=1607 XHG=1668 XHG=1847 XHG=2040 XHG=2198 XHG=2283 XHG=2420 XHG=2466 YBD=2812 YBD=2803 YBD=2811 YHG=2775>suggestive YHG=2775>of YHG=2784>an YHG=2775>ordinary YHG=2775>giant-cell YHG=2778>tumour YHG=2784>was YHG=2785>seen. YHG=2776>A YHG=2776>few E. and Drysdale, J. H. (1898) Trans. path. Soc. Lond. Garrod, A.XHG=2392 " XBD=2532 XBD=1549 XBD=1623 XBD=1817 XBD=1987 XBD=2064 XBD=2215 XBD=2297 XBD=2376 XHG=1340 XHG=1565 XHG=1641 XHG=1833 XHG=2003 XHG=2082 XHG=2232 XHG=2314 YBD=2851 YHG=2818>tumour YBD=2842 YBD=2843 YHG=2815>osteoclasts YHG=2824>are YHG=2815>scattered YHG=2815>through YHG=2815>section YHG=2815>but YHG=2815>the 49, 257. " XBD=2532 XBD=1369 XBD=1518 XBD=1717 XBD=1771 XBD=1989 XBD=2168 XBD=2270 XBD=2379 XHG=1340 XHG=1383 XHG=1532 XHG=1732 XHG=1783 XHG=2003 XHG=2182 XHG=2283 XHG=2393 YBD=2890 YBD=2883 YBD=2882 YHG=2855>is YHG=2854>mostly YHG=2854>composed YHG=2854>of YHG=2854>degenerate YHG=2854>cartilage YHG=2854>with YHG=2863>some YHG=2854>cellular Kinderheilk. E. (1933) Jb. Glanzmann, 139, 49. C. V. andYHG=2902>a H., Harrison, Grace, W.XHG=2511 Davie, T. B. (1940) Lancet, ii, " XBD=2531 XBD=1440 XBD=1574 XBD=1653 XBD=1752 XBD=1966 XBD=2049 XBD=2133 XBD=2215 XBD=2434 XBD=2494 XHG=1341 XHG=1461 XHG=1595 XHG=1673 XHG=1770 XHG=2012 XHG=2070 XHG=2153 XHG=2237 XHG=2455 YBD=2930 YBD=2922 YBD=2921 YBD=2920 YHG=2902>areas YHG=2893>which YHG=2902>are YHG=2893>well YHG=2893>preserved. YHG=2893>It YHG=2893>has YHG=2894>the YHG=2894>characters YHG=2893>of 102. " XBD=2529 XBD=1551 XBD=1936 XBD=2092 XBD=2195 XBD=2325 XBD=2449 XHG=1342 XHG=1589 XHG=1983 XHG=2131 XHG=2233 XHG=2363 XHG=2485 YBD=2968 YBD=2959 YBD=2960 YHG=2932>degenerate YHG=2931>chondrosarcoma.&dquo; YHG=2931>There YHG=2931>has YHG=2933>since YHG=2932>been YHG=2941>no Brit. J. Derm. E. (1901) Graham-Little, 13, 445. "

XBD=1554

XHG=1341 E. (1940) Harries, G.

YBD=2999 Proc. R. Soc. YHG=2980>recurrence. Med. 33, 561.

J. F. (1940) Brit. med. J. ii, 353. Hughes, |>" " XBD=1479 XBD=1613 XBD=1725 XBD=1835 XBD=1908 XBD=2147 XBD=2209 XBD=2360 XBD=2536 XHG=1385 XHG=1505 XHG=1631 XHG=1746 XHG=1855 XHG=1929 XHG=2168 XHG=2223 XHG=2379 YBD=3056 YBD=3053 YBD=3048 YHG=3020>CASE YHG=3020>5.-A YHG=3029>man, YHG=3020>aged YHG=3020>28, YHG=3019>complained YHG=3020>of YHG=3020>painful YHG=3020>swelling E. YBD=3056 M. A. and J. L. W., Rice, YBD=3057 C., Selinger, Lindsay, " XBD=2529 XBD=1378 XBD=1456 XBD=1578 XBD=1656 XBD=1866 XBD=1927 XBD=2033 XBD=2079 XBD=2193 XBD=2349 XBD=2385 XHG=1339 XHG=1393 XHG=1470 XHG=1624 XHG=1669 XHG=1882 XHG=1940 XHG=2049 XHG=2099 XHG=2209 XHG=2364 YBD=3095 YBD=3086 YBD=3091 YBD=3092 YBD=3088 YBD=3087 YHG=3062>atRobins, (1941) YHG=3060>the YHG=3060>wrist. YHG=3060>A YHG=3059>radiogram YHG=3068>on YHG=3058>June YHG=3059>3, YHG=3059>1942, YHG=3059>showed YHG=3068>a Amer.XHG=2398 J. med. Sci.YBD=3096 201, 263. YHG=3058>typical A. Amer. J. Obstet. 150. R. Gynec. 41, of the MacKenzie, (1941) " XBD=2528 XBD=1659 XBD=1731 XBD=1846 XBD=2041 XBD=2170 XBD=2253 XBD=2310 XBD=2344 XBD=2401 XHG=1337 XHG=1669 XHG=1742 XHG=1855 XHG=2052 XHG=2183 XHG=2266 XHG=2323 XHG=2357 XHG=2409 YBD=3125 YBD=3126 YBD=3135 YHG=3099>osteoclastoma YHG=3098>the YHG=3098>lower YHG=3097>end YHG=3098>radius YHG=3099>(fig. YHG=3106>in YHG=3107>a YHG=3108>on YHG=3098>plate). of P. W. and Cooke, W. E.YHG=3146>preMacLagan,XHG=2455 (1916) Lancet, ii, 1054. " XBD=2551 XBD=1382 XBD=1581 XBD=1667 XBD=1706 XBD=1867 XBD=2108 XBD=2274 XBD=2439 XHG=1339 XHG=1401 XHG=1596 XHG=1688 XHG=1721 XHG=1882 XHG=2122 XHG=2288 YBD=3173 YBD=3164 YBD=3165 YBD=3174 YHG=3137>In YHG=3137>reporting YHG=3137>this YHG=3137>I YHG=3136>advised YHG=3136>X-radiation YHG=3138>therapy YHG=3137>without Magnusson, J. H. (1934) Acta pœdiatr., Stockh. 15, 396. " XBD=2528 XBD=1502 XBD=1649 XBD=1743 XBD=1905 XBD=1987 XBD=2156 XBD=2216 XBD=2260 XBD=2391 XBD=2451 XHG=1338 XHG=1525 XHG=1672 XHG=1763 XHG=1925 XHG=2008 XHG=2178 XHG=2239 XHG=2281 XHG=2412 YBD=3213 YBD=3207 YBD=3212 YBD=3205 YBD=3204 YBD=3203 YHG=3176>liminary YHG=3177>biopsy YHG=3176>and YHG=3176>warned YHG=3175>the YHG=3185>surgeon YHG=3186>as YHG=3185>a YHG=3177>result YHG=3177>of J. H. YHG=3176>the A. and Mehrling, Monfort, J.XHG=2468 (1941) Amer. J. Dis. Child. 62, 144. XHG=2377 " XBD=2353 XBD=2527 XBD=1517 XBD=1579 XBD=1730 XBD=1801 XBD=1997 XBD=2205 XBD=2271 XHG=1338 YBD=3244 XHG=1541 XHG=1605 XHG=1756 XHG=1826 XHG=2023 XHG=2231 XHG=2291 YBD=3242 YHG=3218>tumour. YBD=3251 YBD=3243 YHG=3216>radiation YHG=3218>to YHG=3217>expect YHG=3223>an YHG=3218>apparent YHG=3216>extension YHG=3216>of YHG=3216>the

M. (1923) YBD=3291 Amer. J. med. Sci. 166, 513. Rabinowitz, " XBD=2346 XBD=2527 XBD=1369 XBD=1583 XBD=1643 XBD=1749 XBD=1807 XBD=1914 XBD=2102 XBD=2177 XBD=2287 XHG=1339 XHG=1384 XHG=1598 XHG=1657 XHG=1765 XHG=1821 XHG=1926 XHG=2116 XHG=2191 XHG=2300 XHG=2360 YBD=3290 YBD=3281 YBD=3282 YHG=3255>A YHG=3254>radiogram YHG=3263>on YHG=3254>June YHG=3254>29 YHG=3254>after YHG=3254>radiation YHG=3254>did YHG=3254>show YHG=3263>an YHG=3257>apparent Sacks, M. S. (1937) Ann. intern. Med. 10, 1105. " XBD=2526 XBD=1523 XBD=1590 XBD=1676 XBD=1847 XBD=1946 XBD=2019 XBD=2092 XBD=2198 XBD=2315 XHG=2343 XHG=1338 XHG=1551 XHG=1614 XHG=1704 XHG=1877 XHG=1976 XHG=2033 XHG=2135 XHG=2226 YBD=3320 YBD=3329 YBD=3321 YBD=3322 YHG=3294>extension YHG=3294>of YHG=3293>the YHG=3295>tumour YHG=3293>(fig. YHG=3302>111 YHG=3294>b) YHG=3294>the YHG=3294>bone YHG=3294>trabeculae ; Talbot, E. (1900) St. Bart’s Hosp. Rep. 36, 207.

Pfaunder-Schlossmann’s Handbuch Thomas, E. " XBD=2526 XBD=1558 XBD=1648 XBD=1826 XBD=1924 XBD=1999 XBD=2155 XBD=2280 XBD=2395 XHG=2427 XHG=1337 XHG=1586 XHG=1683 XHG=1854 XHG=1951 XHG=2026 XHG=2181 XHG=2307 YBD=3368 YBD=3362 YBD=3361 YBD=3360 YHG=3333>throughout YHG=3333>the YHG=3334>tumour YHG=3333>and YHG=3332>its YHG=3333>medial YHG=3333>walls YHG=3325>were YHG=3333>being (1931) inYBD=3369 969.

Kinderheilkunde, I, p. " XBD=2339 XBD=2526 XBD=1521 XBD=1641 XBD=1748 XBD=1831 XBD=1937 XBD=2091 XBD=2175 XBD=2248 XHG=1337 vol. XHG=1568 XHG=1652 XHG=1760 XHG=1842 XHG=1950 XHG=2104 XHG=2186 XHG=2261 XHG=2351 YBD=3399 YBD=3401 YBD=3400 YHG=3372>absorbed. YHG=3372>The YHG=3372>wrist YHG=3380>was YHG=3381>more YHG=3373>swollen YHG=3372>and YHG=3372>the YHG=3372>skin YHG=3372>exhibited Victor, M. (1921) Z. Kinderheilk. 30, 44. " XBD=2524 XBD=1357 XBD=1611 XBD=1818 XBD=1908 XBD=1981 XBD=2192 XBD=2314 XBD=2374 XBD=2471 XHG=1336 XHG=1371 XHG=1625 XHG=1865 XHG=1921 XHG=1995 XHG=2206 XHG=2329 XHG=2387 XHG=2485 YBD=3438 YBD=3446 YBD=3449 YBD=3448 YBD=3439 YHG=3420>a YHG=3410>well-marked YHG=3411>erythema. YHG=3412>In YHG=3412>the YHG=3413>radiogram YHG=3412>taken YHG=3420>on YHG=3411>July YHG=3412>26 F. (1894) Path. Voelcker, A. Rep. Middlesex Hosp. p. 279. R. Waterhouse, (1911) YBD=3478 |>" " XBD=1409 XBD=1469 XBD=1514 XBD=1576 XBD=1651 XBD=2016 XBD=2101 XBD=2202 XBD=2387 XBD=2439 XBD=2525 XBD=1817 XHG=1339 XHG=1425 XHG=1484 XHG=1531 XHG=1590 XHG=1830 XHG=2031 XHG=2116 XHG=2216 XHG=2402 XHG=2451 XHG=1666 YBD=3486 YBD=3484 YBD=3477 YBD=3479 YBD=3478 YHG=3450>(fig. YHG=3458>in YHG=3451>c) YHG=3450>all YHG=3450>the YHG=3451>trabeculse YHG=3451>had YHG=3452>been YHG=3451>absorbed YHG=3459>as YHG=3450>well YHG=3447>internal Lancet, i, 577.

der

’

777

" XBD=2581 XBD=1490 XBD=1696 XBD=1956 XBD=2016 XBD=2097 XBD=2262 XBD=2320 XBD=2401 XHG=1389 XHG=1507 XHG=1714 XHG=1972 XHG=2030 XHG=2114 XHG=2275 XHG=2335 XHG=2414 YBD=227YHG=192>of YBD=225 YBD=217 YBD=218 YBD=219 YHG=198>-an YHG=189>apparent YHG=188>stimulation YHG=188>of YHG=188>growth YHG=187>of YHG=187>the YHG=188>tumour. XBD=175 XHG=932 XBD=256 XBD=404 XBD=494 XBD=693 XBD=795 XBD=912 XBD=972 XBD=1050 XBD=1234 XBD=1330 XHG=138 XHG=194 XHG=274 XHG=423 XHG=514 XHG=701 XHG=815 XHG=988YBD=220 XHG=1068 XHG=1268 YBD=221 YBD=223 YBD=228 YBD=222 YBD=221 YHG=203>as YHG=194>the YHG=193>medial YHG=193>and YHG=193>articular YHG=193>bony YHG=192>walls YHG=192>the YHG=194>tumour ; YHG=192>the " XBD=2583 XBD=1813 XBD=1898 XBD=1979 XBD=2134 XBD=2193 XBD=2311 XHG=1627 XHG=1830 XHG=1913 XHG=1993 XHG=2149 XHG=2203 XHG=2327 YBD=257 YBD=258 YBD=265 YHG=226>2 YHG=228>out YHG=227>the YHG=227>fallacy YHG=227>of YHG=227>these YHG=236>appearances pointed XBD=284 XHG=725 XBD=443 XBD=571 XBD=685 XBD=796 XBD=1020 XBD=1160 XBD=1332 XHG=137 XHG=316 XHG=476 XHG=604 XHG=829YBD=259 XHG=1087 XHG=1194 YBD=262 YBD=268 YBD=260 YBD=259 YBD=259 YHG=232>thinned YHG=232>lateral YHG=233>bony YHG=231>wall YHG=231>had YHG=231>fractured. YHG=231>The YHG=230>clinical " XBD=1900 |>" XBD=1432 XBD=1539 XBD=1628 XBD=1689 XBD=2520 XHG=1390 XHG=1448 XHG=1556 XHG=1647 XHG=1708 XHG=2516 YBD=298 YBD=305 YBD=304 YBD=297 YBD=271 YHG=268>long YHG=275>ago YHG=276>as YHG=266>1924. YHG=267>’ XBD=369 XBD=421 XBD=488 XBD=596 XBD=684 XBD=881 XBD=913 XBD=1162 XBD=1330 XHG=129 XHG=380 XHG=427 XHG=498 XHG=606 XHG=695 XHG=892 XHG=925 XHG=1173 YBD=310 YBD=300 YBD=299 YBD=307 YBD=298 YBD=298 YHG=280>appearances YHG=272>of YHG=272>the YHG=272>wrist YHG=280>now YHG=270>suggested YHG=279>a YHG=269>considerable YHG=270>advance " XBD=1499 XBD=1613 XBD=1743 XBD=1815 XBD=1947 XBD=2083 XBD=2285 XBD=2420 XHG=1437 XHG=1527 XHG=1644 XHG=1773 XHG=1845 XHG=1976 XHG=2112 XHG=2315 XHG=2448 YBD=336 YBD=338 YBD=337 YHG=307>All YHG=306>who YHG=306>have YHG=306>to YHG=306>treat YHG=306>these YHG=308>tumours YHG=306>must YHG=307>realise " XBD=2583 XBD=172 XHG=841 XBD=242 XBD=389 XBD=439 XBD=507 XBD=671 XBD=754 XBD=835 XBD=988 XBD=1075 XBD=1157 XBD=1330 XHG=137 XHG=181 XHG=252 XHG=400 XHG=445 XHG=517 XHG=683 XHG=765 XHG=998YBD=345 XHG=1087 XHG=1168 YBD=341 YBD=340 YBD=347 YBD=339 YBD=343 YBD=338 YBD=346 YBD=337 YBD=338 YBD=337 YHG=313>in YHG=310>the YHG=311>growth YHG=311>of YHG=311>the YHG=313>tumour, YHG=310>and YHG=319>any YHG=318>surgeon YHG=309>who YHG=318>was YHG=317>unaware " XBD=2582 XBD=1478 XBD=1748 XBD=1931 XBD=2085 XBD=2145 XBD=2216 XBD=2436 XBD=2500 XHG=1388 XHG=1499 XHG=1767 XHG=1950 XHG=2105 XHG=2166 XHG=2236 XHG=2455 XHG=2515 YBD=384 YBD=376 YBD=377 YHG=346>that YHG=345>X-radiation YHG=346>therapy YHG=347>results YHG=346>in YHG=356>an YHG=346>extension YHG=347>of YHG=347>the XBD=216 XHG=840 XBD=274 XBD=388 XBD=451 XBD=541 XBD=818 XBD=956 XBD=1095 XBD=1230 XBD=1332 XHG=136 XHG=238 XHG=297 XHG=411 XHG=468 XHG=564 XHG=978YBD=377 XHG=1117 XHG=1253 YBD=380 YBD=378 YBD=387 YBD=376 YHG=352>that YHG=350>in YHG=350>spite YHG=350>of YHG=349>this YHG=349>consolidation YHG=349>would YHG=348>follow YHG=348>might YHG=347>well XBD=226 XHG=637 XBD=368 XBD=603 XBD=872 XBD=1080 XBD=1330 XHG=138 XHG=259 XHG=400 XHG=917YBD=425 XHG=1114 YBD=419 YBD=416 YBD=424 YBD=424 YHG=391>have YHG=389>urged YHG=388>immediate YHG=388>amputation. YHG=387>Monthly YHG=388>radiograms " XBD=2583 XBD=1590 XBD=1827 XBD=1883 XBD=1957 XBD=2150 XBD=2273 XBD=2386 XBD=2465 XHG=1389 XHG=1603 XHG=1840 XHG=1890 XHG=1969 XHG=2162 XHG=2323 XHG=2397 XHG=2477 YBD=423 YBD=416 YBD=426 YHG=385>osteolytic YHG=385>absorption YHG=385>of YHG=386>involved YHG=386>bone. YHG=386>All YHG=386>the YHG=386>bony " XBD=2582 XBD=1592 XBD=1659 XBD=1743 XBD=1921 XBD=2033 XBD=2144 XBD=2213 XBD=2360 XBD=2477 XHG=1388 XHG=1615 XHG=1677 XHG=1765 XHG=1943 XHG=2052 XHG=2166 XHG=2234 XHG=2384 XHG=2515 YBD=454 YBD=456 YBD=455 YBD=463 YBD=462 YBD=457 YHG=425>trabeculae YHG=425>of YHG=424>the YHG=425>tumour YHG=434>area YHG=434>may YHG=425>be YHG=425>wiped YHG=426>out; YHG=427>the XBD=277 XHG=836 XBD=319 XBD=487 XBD=763 XBD=821 XBD=983 XBD=1072 XBD=1275 XBD=1333 XHG=124 XHG=298 XHG=341 XHG=508 XHG=782 XHG=1001 XHG=1090 XHG=1293 YBD=458 YBD=463 YBD=454 YBD=455 YHG=429>.showed YHG=437>a YHG=428>gradual YHG=436>reappearance YHG=427>of YHG=425>calcium YHG=427>and YHG=426>definition YHG=427>of XBD=1545XHG=707 XBD=1647 XBD=1924 XBD=2051 XBD=2228 XBD=2345 XBD=2514 XBD=2581 XHG=1387 XHG=1570 XHG=1671 XHG=1946 XHG=2076 XHG=2251 XHG=2369 XHG=2538 YBD=495 YBD=502 YBD=503 YBD=496 YHG=465>cortical YHG=464>and YHG=464>subarticular YHG=464>bony YHG=465>capsule YHG=474>may YHG=473>appear YHG=466>to " XBD=1329 XBD=197 XBD=313 XBD=470 XBD=686 XBD=921 XBD=1209 XHG=136 XHG=219 XHG=337 XHG=492 XHG=945 XHG=1256 YBD=497 YBD=503 YBD=494 YBD=502 YBD=494 YBD=494 YHG=469>the YHG=467>bony YHG=466>outline YHG=466>indicating YHG=466>progressive YHG=466>consolidation. YHG=466>The " XBD=1328 XBD=201 XBD=333 XBD=402 XBD=509 XBD=576 XBD=672 XBD=782 XBD=920 XBD=1004 XBD=1182 XBD=1246 XHG=139 XHG=224 XHG=357 XHG=425 XHG=538 XHG=603 XHG=693 XHG=943 XHG=1024 XHG=1206 XHG=1265 YBD=536 YBD=534 YBD=542 YBD=540 YBD=533 YBD=534 YBD=542 YBD=533 YBD=534 YHG=516>one YHG=507>taken YHG=515>on YHG=506>Dec. YHG=506>17 YHG=505>(fig. YHG=505>ind) YHG=505>shows YHG=505>the YHG=514>progress YHG=506>of YHG=505>the XBD=1488XHG=807 XBD=1604 XBD=1851 XBD=2072 XBD=2170 XBD=2458 XBD=2582 XHG=1388 XHG=1508 XHG=1623 XHG=1870 XHG=2093 XHG=2189 XHG=2476 YBD=535 YBD=543 YHG=504>have YHG=504>been YHG=504>completely YHG=504>destroyed YHG=504>and YHG=504>the,adjacent YHG=505>bony XBD=401 XHG=789 XBD=560 XBD=655 XBD=766 XBD=884 XBD=1058 XBD=1122 XBD=1202 XBD=1330 XHG=138 XHG=449 XHG=584 XHG=678 XHG=908YBD=573 XHG=1082 XHG=1140 XHG=1225 YBD=578 YBD=572 YBD=581 YBD=573YHG=553>some YHG=540>consolidation, YHG=544>There YHG=544>had YHG=544>been YHG=544>collapse YHG=545>of YHG=545>the YHG=544>lower " XBD=2583 XBD=1493 XBD=1596 XBD=1765 XBD=1966 XBD=2119 XBD=2172 XBD=2263 XBD=2433 XHG=1387 XHG=1517 XHG=1617 XHG=1787 XHG=2017 XHG=2139 XHG=2196 XHG=2287 XHG=2456 YBD=575 YBD=574 YBD=582 YBD=576 YHG=544>walls YHG=544>still YHG=544>further YHG=543>invaded. YHG=543>Such YHG=544>is YHG=543>the YHG=544>change YHG=545>which " XBD=2581 XBD=232 XHG=818 XBD=292 XBD=370 XBD=509 XBD=569 XBD=612 XBD=741 XBD=802 XBD=880 XBD=1065 XBD=1194 XBD=1329 XBD=1480 XBD=1550 XBD=1661 XBD=1724 XBD=1981 XBD=2123 XBD=2283 XBD=2373 XBD=2480 XHG=136 XHG=253 XHG=308 XHG=390 XHG=531 XHG=591 XHG=632 XHG=762 XHG=901YBD=612 XHG=1112 XHG=1212 XHG=1387 XHG=1502 XHG=1573 XHG=1683 XHG=1745 XHG=2004 XHG=2146 XHG=2306 XHG=2396 XHG=2503 YBD=613 YBD=611 YBD=612 YBD=613 YBD=620 YBD=621 YBD=614 YBD=615 YHG=585>third YHG=584>of YHG=583>the YHG=584>radius YHG=593>as YHG=593>a YHG=584>result YHG=583>of YHG=584>the YHG=584>fracture. YHG=584>This YHG=584>might YHG=592>may YHG=583>be YHG=592>seen YHG=583>in YHG=583>radiograms YHG=583>taken YHG=584>during YHG=584>the YHG=584>first YHG=585>two

Herendeen

XBD=227 XHG=872 XBD=338 XBD=512 XBD=566 XBD=646 XBD=754 XBD=849 XBD=960 XBD=1214 XBD=1330 XHG=138 XHG=251 XHG=360 XHG=535 XHG=584 XHG=669 XHG=777 XHG=982YBD=651 XHG=1236 YBD=652 YBD=650 YBD=652 YBD=652 YHG=626>have YHG=623>been YHG=623>avoided YHG=623>if YHG=623>the YHG=623>limb YHG=623>had YHG=622>been YHG=623>immobilised YHG=624>until " XBD=2582 XBD=1543 XBD=1676 XBD=1750 XBD=1988 XBD=2095 XBD=2302 XBD=2400 XHG=1386 XHG=1576 XHG=1711 XHG=1783 XHG=2047 XHG=2124 XHG=2333 XHG=2432 YBD=653 YBD=654 YBD=655 YHG=623>months YHG=623>after YHG=623>X YHG=623>radiation. YHG=623>In YHG=624>addition YHG=624>the YHG=624>clinical

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XBD=351 XHG=885 XBD=550 XBD=836 XBD=940 XBD=1052 XBD=1171 XBD=1235 XBD=1327 XHG=137 XHG=370 XHG=569 XHG=959YBD=700 XHG=1077 XHG=1191 XHG=1256 YBD=699 YBD=690 YBD=691 YBD=699 YBD=697 YBD=691 YBD=692 YHG=662>radiograms YHG=662>indicated YHG=661>consolidation. YHG=663>By YHG=663>May, YHG=663>1943, YHG=663>he YHG=663>had XBD=2580 XBD=1644 XBD=1813 XBD=1921 XBD=2084 XBD=2207 XBD=2406 XBD=2463 XHG=1387 XHG=1677 XHG=1843 XHG=1953 XHG=2115 XHG=2238 XHG=2439 XHG=2495 YBD=700 YBD=693 YBD=701 YHG=671>appearances YHG=663>during YHG=663>this YHG=663>period YHG=673>may YHG=663>indicate YHG=672>a YHG=672>proXBD=1552XHG=830 XBD=1902 XBD=2018 XBD=2074 XBD=2204 XBD=2384 XBD=2488 XBD=2581 XHG=1387 XHG=1578 XHG=1929 XHG=2042 XHG=2099 XHG=2229 XHG=2410 XHG=2514 YBD=739 YBD=740 YBD=732 YBD=733 YHG=702>gressive YHG=702>expansion-the YHG=711>area YHG=702>is YHG=712>more YHG=703>swollen YHG=702>and YHG=703>the XBD=226 XBD=411 XBD=507 XBD=803 XBD=964 XBD=1060 XBD=1328 XHG=137 XHG=251 XHG=437 XHG=533 XHG=989YBD=731 XHG=1085 YBD=740 YBD=730 YBD=729 YBD=738 YBD=730 YHG=701>good YHG=700>function YHG=700>and YHG=701>strength-the YHG=701>clinical YHG=702>and YHG=702>radiographio XBD=392 XHG=493 XBD=477 XBD=693 XBD=1474 XBD=1688 XBD=1778 XBD=1828 XBD=1944 XBD=2058 XBD=2234 XBD=2291 XBD=2364 XBD=2580 XHG=137 XHG=406 XHG=1386 XHG=1484 XHG=1700 XHG=1788 XHG=1839 XHG=1955 XHG=2068 XHG=2246 XHG=2297 XHG=2374 YBD=778 YBD=769 YBD=771 YBD=778 YBD=771 YBD=772 YHG=743>improvement YHG=740>had YHG=740>continued. YHG=741>skin YHG=742>reddened, YHG=742>and YHG=742>in YHG=750>some YHG=751>cases YHG=741>fracture YHG=743>of YHG=742>the YHG=742>weakened XBD=1491XHG=611 XBD=1592 XBD=1714 XBD=1845 XBD=1936 XBD=1980 XBD=2190 XBD=2263 XBD=2343 XBD=2586 XHG=1386 XHG=1504 XHG=1604 XHG=1727 XHG=1896 XHG=1947 XHG=1994 XHG=2202 XHG=2276 XHG=2356 YBD=818 YBD=819 YBD=811 YBD=817 YHG=781>bony YHG=781>wall YHG=780>takes YHG=781>place. YHG=781>It YHG=782>is YHG=781>advisable YHG=781>for YHG=781>the YHG=781>radiologist XBD=842 YBD=825 YHG=801>DISCUSSION XBD=1431 XBD=1551 XBD=1637 XBD=1813 XBD=1874 XBD=1969 XBD=2166 XBD=2231 XBD=2421 XBD=2580 XHG=1387 XHG=1443 XHG=1571 XHG=1651 XHG=1830 XHG=1891 XHG=1983 XHG=2187 XHG=2245 XHG=2472 YBD=850 YBD=858 YBD=851 YHG=821>to YHG=829>warn YHG=820>the YHG=830>surgeon YHG=820>this YHG=829>sequence YHG=821>of YHG=821>changes. YHG=820>With XBD=263 XBD=359 XBD=479 XBD=599 XBD=874 XBD=1027 XBD=1130 XBD=1168 XBD=1328 XHG=184 XHG=277 XHG=373 XHG=495 XHG=615 XHG=888 XHG=1040 XHG=1145 XHG=1183 YBD=871 YBD=872 YBD=879 YBD=871 YBD=872 YHG=841>The YHG=840>first YHG=841>three YHG=850>cases YHG=841>demonstrate YHG=841>clearly YHG=842>that YHG=851>a YHG=841>certain XBD=1541 XBD=1778 XBD=1945 XBD=2040 XBD=2293 XBD=2481 XBD=2580 XHG=1387 XHG=1569 XHG=1808 XHG=1973 XHG=2069 XHG=2322 XHG=2513 YBD=898 YBD=897 YBD=890 YBD=889 YHG=860>patient YHG=860>treatment YHG=860>during YHG=859>the YHG=860>succeeding YHG=859>months YHG=860>the XBD=295 XBD=371 XBD=722 XBD=903 XBD=982 XBD=1241 XBD=1327 XHG=136 XHG=327 XHG=408 XHG=761 XHG=935 XHG=1023 XHG=1274 YBD=910 YBD=911 YBD=911 YBD=918 YHG=880>number YHG=881>of YHG=880>osteoclastomas YHG=881>cannot YHG=881>be YHG=880>eradicated YHG=880>by XBD=1543 XBD=1640 XBD=1830 XBD=1917 XBD=2143 XBD=2217 XBD=2315 XBD=2580 XHG=1386 XHG=1552 XHG=1647 XHG=1840 XHG=1924 XHG=2150 XHG=2227 XHG=2324 YBD=937 YBD=930 YHG=900>tumour YHG=899>reossifies YHG=900>and YHG=899>ultimately YHG=900>the YHG=909>area YHG=899>consolidates XBD=277 XBD=496 XBD=565 XBD=650 XBD=778 XBD=932 XBD=1033 XBD=1329 XHG=137 XHG=301 XHG=520 XHG=584 XHG=673 XHG=801 XHG=955 XHG=1057 YBD=950 YBD=958 YBD=951 YBD=951 YHG=920>drastic YHG=920>curettage YHG=920>of YHG=920>the YHG=920>bony YHG=921>cavity YHG=920>and YHG=920>carbolisation XBD=1464 XBD=1595 XBD=1787 XBD=1832 XBD=2012 XBD=2185 XBD=2309 XBD=2424 XBD=2493 XBD=2581 XHG=1386 XHG=1488 XHG=1620 XHG=1809 XHG=1862 XHG=2038 XHG=2211 XHG=2333 XHG=2449 XHG=2513 YBD=976 YBD=977 YBD=970 YBD=969 YHG=939>and YHG=939>often YHG=949>assumes YHG=949>a YHG=938>density YHG=938>greater YHG=940>than YHG=939>that YHG=938>of YHG=939>the XBD=180 XBD=262 XBD=399 XBD=498 XBD=609 XBD=858 XBD=1126 XBD=1236 XBD=1327 XHG=136 XHG=195 XHG=281 XHG=421 XHG=519 XHG=628 XHG=879 XHG=1146 XHG=1256 YBD=989 YBD=995 YBD=990 YBD=998 YBD=998 YBD=990 YHG=960>of YHG=960>the YHG=959>walls, YHG=960>and YHG=960>that YHG=959>subsequent YHG=960>amputation YHG=960>does YHG=961>not XBD=1534 XBD=1666 XBD=1765 XBD=1821 XBD=2039 XBD=2116 XBD=2207 XBD=2425 XBD=2493 XBD=2580 XHG=1385 XHG=1556 XHG=1712 XHG=1789 XHG=1845 XHG=2064 XHG=2140 XHG=2232 XHG=2448 XHG=2513 YBD=1010 YBD=1016 YBD=1009 YHG=980>normal YHG=979>bone. YHG=980>As YHG=980>is YHG=978>indicated YHG=979>by YHG=980>the YHG=978>histology YHG=978>of YHG=978>the XBD=296 XBD=388 XBD=685 XBD=757 XBD=871 XBD=1133 XBD=1325 XHG=136 XHG=322 XHG=417 XHG=713 XHG=779 XHG=896 XHG=1186 YBD=1036 YBD=1029 YBD=1037 YBD=1029 YBD=1036 YHG=996>prevent YHG=1000>the YHG=999>development YHG=1000>of YHG=999>lung YHG=1000>metastases. YHG=1000>OperaXBD=1541 XBD=1749 XBD=1813 XBD=1926 XBD=1973 XBD=2064 XBD=2128 XBD=2347 XBD=2580 XHG=1384 XHG=1568 XHG=1772 XHG=1841 XHG=1952 XHG=1999 XHG=2090 XHG=2152 XHG=2375 YBD=1047 YBD=1049 YBD=1048 YBD=1055 YHG=1019>tumour YHG=1019>removed YHG=1019>in YHG=1028>case YHG=1019>4 YHG=1019>the YHG=1019>X YHG=1018>radiation YHG=1017>destroyed XBD=218 XHG=816 XBD=353 XBD=430 XBD=585 XBD=675 XBD=798 XBD=865 XBD=1007 XBD=1210 XBD=1325 XHG=135 XHG=235 XHG=370 XHG=448 XHG=604 XHG=692 XHG=883YBD=1068 XHG=1024 XHG=1245 YBD=1067 YBD=1076 YBD=1068 YBD=1076YHG=1047>no YBD=1068 YHG=1038>tion YHG=1039>solely YHG=1039>for YHG=1039>biopsy YHG=1048>can YHG=1047>serve YHG=1039>useful YHG=1034>purpose* YHG=1038>The

""|>"XBD=2580 XBD=1451 XBD=1764 XBD=1949 XBD=2037 XBD=2243 XBD=2326 XHG=1384 XHG=1472 XHG=1791 XHG=1971 XHG=2062 XHG=2275 XHG=2352 YBD=1088 YBD=1094 YBD=1087 YBD=1089 YHG=1058>the YHG=1058>-characteristic YHG=1054>cells YHG=1057>the YHG=1058>tumour YHG=1066>no YHG=1057>metastases XBD=289 XBD=482 XBD=577 XBD=780 XBD=978 XBD=1037 XBD=1106 XBD=1325 XBD=1227 XHG=134 XHG=306 XHG=500 XHG=596 XHG=798 XHG=996 XHG=1055 XHG=1248 XHG=1124 YBD=1108 YBD=1115 YBD=1107 YBD=1107 YBD=1108 YBD=1117 YHG=1078>tumour YHG=1078>material YHG=1087>was YHG=1077>radically YHG=1077>removed YHG=1078>in YHG=1078>all YHG=1077>and YHG=1086>casesof; " XBD=1596 XBD=1711 XBD=1971 XBD=2027 XBD=2120 XBD=2231 XHG=1385 XHG=1611 XHG=1726 XHG=1986 XHG=2042 XHG=2134 YBD=1135 YBD=1136 YBD=1128 YBD=1127 YHG=1097>developed YHG=1097>after YHG=1097>amputation YHG=1097>in YHG=1097>this YHG=1106>case. " XBD=1321 XBD=344 XHG=702 XBD=422 XBD=680 XBD=974 XBD=1065 XBD=1236 XHG=133 XHG=361 XHG=440 XHG=1026 XHG=1082 XHG=1255 YBD=1154 YBD=1147 YBD=1147 YHG=1116>submitted YHG=1117>for YHG=1117>histological YHG=1117>examination. YHG=1117>It YHG=1116>showed YHG=1116>the " XBD=2112 XBD=279 XHG=858 XBD=463 XBD=528 XBD=837 XBD=935 XBD=1097 XBD=1324 XHG=134 XHG=298 XHG=483 XHG=544 XHG=955YBD=1186 XHG=1119 YBD=1193 YBD=1187 YBD=1194 YBD=1187 YHG=1156>typical YHG=1157>features YHG=1157>of YHG=1156>osteoclastoma YHG=1156>and YHG=1157>merely YHG=1157>confirmed " XHG=1843 YBD=1196 YHG=1173>CONCLUSIONS

" XBD=2362 XBD=199 XBD=456 XBD=611 XBD=735 XBD=995 XBD=1090 XBD=1324 XHG=133 XHG=214 XHG=471 XHG=659 XHG=1013YBD=1233 XHG=1110 YBD=1234 YBD=1226 YBD=1227YHG=1196>amputation YBD=1233 YHG=1186>the YHG=1196>radiological YHG=1197>report. YHG=1196>Yet YHG=1206>was YHG=1196>performed " XBD=2580XHG=749 XBD=1512 XBD=1745 XBD=1812 XBD=1960 XBD=2042 XHG=1432 XHG=1535 XHG=1769 XHG=1832 XHG=1982 XHG=2067 XHG=2384 YBD=1246 YBD=1245 YHG=1216>The YHG=1216>treatment YHG=1216>of YHG=1216>choice YHG=1216>for YHG=1215>osteoclastoma YHG=1215>whatever t " XBD=173 XBD=242 XBD=337 XBD=471 XBD=711 XBD=794 XHG=134 XHG=191 XHG=260 XHG=353 XHG=552 XHG=728 YBD=1263 YBD=1264 YBD=1265 YBD=1272 YBD=1266 YBD=1273 YHG=1234>in YHG=1235>all YHG=1236>and YHG=1236>failed YHG=1236>prevent YHG=1236>the YHG=1235>spread. " XBD=960 XBD=1450XHG=812 XBD=1544 XBD=1595 XBD=1654 XBD=1872 XHG=1666 XHG=1383 XHG=1470 XHG=1563 XHG=1616 YBD=1286 YBD=1285 YHG=1256>the YHG=1256>site YHG=1255>is YHG=1255>X YHG=1255>radiation. " XBD=1325 XBD=294 XHG=860 XBD=347 XBD=457 XBD=511 XBD=731 XBD=828 XBD=972 XBD=1049 XHG=183 XHG=326 XHG=380 XHG=490 XHG=542 XHG=762 XHG=1005 XHG=1076 YBD=1303 YBD=1305 YBD=1304 YBD=1306 YBD=1304 YHG=1273>Cases YHG=1275>4 YHG=1275>and YHG=1275>5 YHG=1275>illustrate YHG=1275>the YHG=1275>value YHG=1275>of YHG=1274>X-radiation

" " " "" "" " "

XBD=2579 XBD=1472 XBD=1743 XBD=1799 XBD=2009 XBD=2078 XBD=2284 XBD=2341 XBD=2506 XHG=1433 XHG=1495 XHG=1767 XHG=1824 XHG=2036 XHG=2105 XHG=2308 XHG=2367 XHG=2532 YBD=1332 YBD=1325 YBD=1331 YBD=1324 YBD=1323 YHG=1295>If YHG=1295>amputation YHG=1295>is YHG=1294>regarded YHG=1304>as YHG=1294>essential YHG=1295>it YHG=1294>should YHG=1293>be XBD=309 XBD=448 XBD=736 XBD=1014 XBD=1131 XBD=1322 XHG=134 XHG=367 XHG=469 XHG=759 XHG=1035 XHG=1152 YBD=1342 YBD=1350 YBD=1350 YBD=1343 YBD=1350 YHG=1312>therapy. YHG=1313>The YHG=1313>radiographic YHG=1323>appearances YHG=1322>were YHG=1312>typical ; XBD=1569 XBD=1644 XBD=1791 XBD=1976 XBD=2076 XBD=2379 XBD=2578 XHG=1383 XHG=1590 XHG=1666 XHG=1812 XHG=1999 XHG=2099 XHG=2401 YBD=1371 YBD=1370 YBD=1363 YHG=1334>preceded YHG=1334>by YHG=1334>X-ray YHG=1334>therapy YHG=1334>and YHG=1333>consolidation YHG=1332>awaited. XBD=239 XBD=340 XBD=413 XBD=510 XBD=591 XBD=750 XBD=850 XBD=972 XBD=1072 XBD=1321 XHG=134 XHG=262 XHG=362 XHG=437 XHG=531 XHG=614 XHG=774 XHG=873 XHG=993 XHG=1095 YBD=1379 YBD=1380 YBD=1381 YBD=1389 YBD=1382 YBD=1382 YBD=1390 YHG=1350>there YHG=1360>was YHG=1361>no YHG=1352>call YHG=1353>for YHG=1352>biopsy YHG=1352>and YHG=1355>none YHG=1362>was YHG=1351>performed. XBD=1511 XBD=1722 XBD=1811 XBD=1875 XBD=2193 XBD=2483 XBD=2580 XHG=1432 XHG=1530 XHG=1739 XHG=1828 XHG=1892 XHG=2209 XHG=2501 YBD=1402 YBD=1410 YBD=1403 YHG=1373>The YHG=1373>diagnosis YHG=1382>can YHG=1373>be YHG=1372>established.by YHG=1371>radiography, YHG=1371>and XBD=212 XBD=379 XBD=471 XBD=697 XBD=754 XBD=865 XBD=1007 XBD=1185 XBD=1324 XHG=134 XHG=228 XHG=392 XHG=486 XHG=713 XHG=772 XHG=882 XHG=1021 XHG=1199 YBD=1418 YBD=1427 YBD=1420 YBD=1421 YBD=1428 YBD=1428 YBD=1429 YBD=1422 YHG=1389>The YHG=1390>patient YHG=1399>was YHG=1391>submitted YHG=1392>to YHG=1392>deep YHG=1392>X-ray YHG=1392>therapy YHG=1391>which XBD=1521 XBD=1570 XBD=1737 XBD=1951 XBD=2039 XBD=2252 XHG=1383 XHG=1537 XHG=1588 XHG=1753 XHG=1968 XHG=2056 YBD=1450 YBD=1442 YHG=1412>biopsy YHG=1413>is YHG=1413>neither YHG=1421>necessary YHG=1421>nor YHG=1411>desirable. XBD=327 XHG=638 XBD=615 XBD=892 XBD=1038 XBD=1124 XBD=1259 XBD=1325 XHG=134 XHG=348 XHG=913YBD=1467 XHG=1061 XHG=1143 XHG=1281 YBD=1466 YBD=1460 YBD=1460 YBD=1461 YHG=1428>produced YHG=1429>radiographic YHG=1438>appearances YHG=1430>which YHG=1440>are YHG=1430>liable YHG=1431>to XBD=180 XHG=826 XBD=506 XBD=578 XBD=707 XBD=806 XBD=925 XBD=1014 XBD=1279 XBD=1325 XHG=134 XHG=199 XHG=525 XHG=597 XHG=721 XHG=944YBD=1499 XHG=1032 XHG=1291 YBD=1497 YBD=1505 YBD=1500 YBD=1507 YBD=1499 YHG=1468>be YHG=1468>misinterpreted YHG=1469>by YHG=1469>those YHG=1470>who YHG=1470>have YHG=1470>not YHG=1470>experienced YHG=1469>it

" XBD=2580 XBD=1483 XHG=2537 XBD=1594 XBD=1806 XBD=2018 XBD=2278 XBD=2518 XHG=1436 Medical XHG=1503 XHG=1612 XHG=1823 XHG=2033 XHG=2294 YBD=1578 YHG=1558>or YBD=1586 YBD=1587 YBD=1579 YHG=1549>In YHG=1549>1917 YHG=1549>McLellan YHG=1549>described YHG=1550>paroxysmal YHG=1549>proctalgia, Societies " XBD=2580 XBD=1504 XHG=2567 XBD=1635 XBD=1707 XBD=1968 XBD=2141 XBD=2224 XBD=2346 XHG=1385 YBD=1605 XHG=1532 XHG=1664 XHG=1730 XHG=1996 XHG=2184 XHG=2254 XHG=2376 YBD=1619 YHG=1588>1 YBD=1618 YBD=1625 YHG=1589>rectal YHG=1588>crisis YHG=1589>of YHG=1588>non-tabetic YHG=1589>origin YHG=1589>in YHG=1587>1935 YHG=1588>Thaysen ; " XBD=2577 XBD=1581 XHG=2447 XBD=1675 XBD=1806 XBD=1956 XBD=2122 XBD=2181 XBD=2420 XHG=1386 YBD=1665 XHG=1609 XHG=1703 XHG=1834 XHG=1985 XHG=2148 XHG=2208 YBD=1657 YHG=1628>fugax. YBD=1664 YBD=1658 YHG=1627>described YHG=1628>the YHG=1637>same YHG=1628>thing, YHG=1628>calling YHG=1628>it YHG=1628>proctalgia OF MEDICINE ROYAL YBD=1702 SOCIETY " XBD=2578 XBD=1464 XHG=2381 XBD=1631 XBD=1714 XBD=1881 XBD=1940 XBD=2078 XBD=2207 XBD=2310 XBD=2367 XHG=1386 XHG=1479 XHG=1645 XHG=1729 XHG=1896 XHG=1951 XHG=2088 XHG=2217 XHG=2323 YBD=1696 YBD=1704 YBD=1697 YBD=1705 YBD=1698 YHG=1667>The YHG=1667>patient YHG=1667>has YHG=1667>attacks YHG=1668>of YHG=1676>severe YHG=1667>rectal YHG=1668>pain YHG=1668>at YHG=1667>intervals, " XBD=2579 XBD=1536 XBD=1594 XBD=1720 XBD=1812 XBD=2044 XBD=2162 XBD=2309 XBD=2515 XHG=1384 XHG=1552 XHG=1609 XHG=1736 XHG=1828 XHG=2061 XHG=2177 XHG=2325 XHG=2546 YBD=1742 YBD=1735 YBD=1743 YBD=1736 YHG=1706>usually YHG=1706>at YHG=1706>night YHG=1706>and YHG=1706>sometimes YHG=1706>after YHG=1707>sexual YHG=1706>activity YHG=1706>it ; XBD=239 XHG=809 XBD=285 XBD=472 XBD=537 XBD=620 XBD=787 XBD=851 XBD=1091 XBD=1156 XBD=1271 XBD=1321 XHG=181 XHG=261 XHG=305 XHG=493 XHG=554 XHG=641 XHG=868YBD=1740 XHG=1107 XHG=1172 XHG=1288 YBD=1742 YBD=1748 YBD=1741 YBD=1748 YBD=1740 YBD=1746 YHG=1713>AT YHG=1722>a YHG=1712>meeting YHG=1712>of YHG=1712>the YHG=1711>section YHG=1711>of YHG=1711>proctology YHG=1720>on YHG=1706>June YHG=1712>9, " XBD=2577 XBD=1483 XBD=1619 XBD=1683 XBD=1878 XBD=2048 XBD=2145 XBD=2245 XBD=2335 XHG=1386 XHG=1498 XHG=1640 XHG=1701 XHG=1897 XHG=2064 XHG=2161 XHG=2262 XHG=2353 YBD=1778 YBD=1774 YBD=1773 YBD=1780 YBD=1782 YBD=1776 YBD=1775 YHG=1745>lasts YHG=1745>about YHG=1745>10 YHG=1745>minutes, YHG=1745>leaving YHG=1745>him YHG=1745>well YHG=1745>but YHG=1746>exhausted. XBD=225 XHG=755 XBD=312 XBD=377 XBD=440 XBD=501 XBD=736 XBD=821 XBD=1043 XBD=1103 XBD=1186 XBD=1322 XHG=133 XHG=243 XHG=334 XHG=399 XHG=462 XHG=521 XHG=839YBD=1779 XHG=1062 XHG=1120 XHG=1205 YBD=1780 YBD=1785 YBD=1787 YBD=1779 YBD=1784 YHG=1751>with YHG=1752>Mr. YHG=1751>E. YHG=1750>T. YHG=1750>C. YHG=1750>MILLIGAN, YHG=1750>the YHG=1750>president, YHG=1750>in YHG=1750>the YHG=1750>chair, " XBD=2579 XBD=1443 XBD=1611 XBD=1799 XBD=1855 XBD=2001 XBD=2070 XBD=2170 XBD=2236 XBD=2429 XHG=1383 XHG=1466 XHG=1633 XHG=1821 XHG=1877 XHG=2024 XHG=2096 XHG=2193 XHG=2260 XHG=2449 YBD=1820 YBD=1813 YBD=1814 YBD=1822 YHG=1782>Sir YHG=1783>Arthur YHG=1784>thought YHG=1784>it YHG=1784>might YHG=1784>be YHG=1784>due YHG=1784>to YHG=1784>extreme YHG=1792>spasm XBD=284 XHG=785 XBD=409 XBD=502 XBD=692 XBD=764 XBD=970 XBD=1074 XBD=1323 XHG=133 XHG=310 XHG=436 XHG=529 XHG=721 XHG=997YBD=1818 XHG=1101 YBD=1820 YBD=1819 YBD=1819 YBD=1826 YHG=1790>visitors YHG=1790>from YHG=1790>the YHG=1789>sections YHG=1789>of YHG=1788>medicine YHG=1789>and YHG=1789>psychiatry " XBD=2579 XBD=1427 XBD=1640 XBD=1718 XBD=1877 XBD=2022 XBD=2132 XBD=2329 XHG=1385 XHG=1463 XHG=1674 XHG=1754 XHG=1912 XHG=2055 XHG=2167 XHG=2364 YBD=1852 YBD=1859 YBD=1853 YHG=1823>at YHG=1823>junction YHG=1823>of YHG=1823>pelvic YHG=1823>colon YHG=1822>and YHG=1823>rectum, YHG=1823>associated XBD=279 XHG=573 XBD=323 XBD=554 XBD=623 XHG=133 XHG=299 XHG=343 YBD=1867 YBD=1859 YBD=1857 YHG=1829>opened YHG=1839>a YHG=1829>discussion YHG=1837>on |>" " XBD=1479 XBD=1733 XBD=1819 XBD=2119 XBD=2366 XBD=2466 XBD=2580 XBD=1665 XHG=1384 XHG=1690 XHG=1754 XHG=1845 XHG=2142 XHG=2389 XHG=2491 XHG=1503 YBD=1900 YBD=1892 YBD=1892 YHG=1862>with YHG=1862>of YHG=1861>the YHG=1861>neighbouring YHG=1862>bowel-wall YHG=1862>like YHG=1862>that YHG=1861>anasmia " XBD=555 XBD=768 XBD=840 XBD=933 XBD=1130 XHG=326 XHG=584 XHG=799 XHG=867 XHG=963 YBD=1912 YBD=1910 YBD=1911 YBD=1911 YHG=1882>Functional YHG=1882>Diseases YHG=1883>of YHG=1882>the YHG=1882>Rectum " XBD=2580 XBD=1472 XHG=2408 XBD=1524 XBD=1620 XBD=1736 XBD=1884 XBD=2015 XBD=2114 XBD=2228 XBD=2284 XBD=2397 XHG=1382 YBD=1939 XHG=1483 XHG=1533 XHG=1631 XHG=1786 XHG=1893 XHG=2025 XHG=2124 XHG=2240 XHG=2290 YBD=1931 YHG=1901>patients YBD=1932 YHG=1910>seen YHG=1901>in YHG=1900>lead YHG=1901>colic. YHG=1901>Ryle YHG=1901>found YHG=1901>that YHG=1910>some YHG=1902>of YHG=1902>these "|>" XBD=238 XBD=815 XBD=908 XBD=1163 XBD=1233 XBD=1322 XBD=436 XBD=605 XHG=180 XHG=631 XHG=842 XHG=934 XHG=1189 XHG=1256 XHG=264 XHG=463 YBD=1960 YBD=1958 YBD=1965 YBD=1962 YBD=1957 YBD=1958 YHG=1930>Sir YHG=1927>reviewed YHG=1928>the YHG=1927>physiology YHG=1924>ARTHUR YHG=1928>HURST YHG=1928>of YHG=1927>the "" XBD=2578 XBD=1451 XBD=1576 XBD=1638 XBD=1827 XBD=1906 XBD=2066 XBD=2175 XBD=2240 XBD=2387 XHG=1385 XHG=1465 XHG=1585 XHG=1652 XHG=1841 XHG=1920 XHG=2080 XHG=2188 XHG=2254 XHG=2401 YBD=1980 YBD=1970 YBD=1971 YBD=1978 YHG=1941>got YHG=1940>relief YHG=1940>by YHG=1940>inflating YHG=1941>the YHG=1940>rectum YHG=1940>with YHG=1949>an YHG=1950>enema YHG=1940>syringe ; XBD=251 XBD=413 XBD=503 XBD=605 XBD=739 XBD=964 XBD=1042 XBD=1223 XHG=132 XHG=266 XHG=426 XHG=516 XHG=618 XHG=976 XHG=1055 XHG=1235 YBD=1998 YBD=1997 YBD=2002 YBD=2004 YBD=1997 YBD=2004 YBD=1997 YHG=1970>colon, YHG=1969>rectum YHG=1968>and YHG=1968>anal YHG=1967>canal, YHG=1968>reminding YHG=1968>the YHG=1967>meeting YHG=1967>that " XBD=1324 XBD=1512XHG=752 XBD=1740 XBD=1796 XBD=2024 XBD=2084 XBD=2199 XBD=2358 XBD=2419 XBD=2578 XHG=1384 XHG=1528 XHG=1755 XHG=1811 XHG=2040 XHG=2095 XHG=2214 XHG=2376 XHG=2434 YBD=2009 YBD=2017 YBD=2016 YBD=2010 YHG=1979>others YHG=1980>responded YHG=1981>to YHG=1980>inhalation YHG=1979>of YHG=1980>amyl YHG=1980>nitrite, YHG=1989>or YHG=1980>chloro" XBD=196 XBD=339 XBD=447 XBD=639 XBD=818 XBD=1069 XBD=1143 XHG=131 XHG=229 XHG=370 XHG=477 XHG=847 XHG=1101 XHG=1175 YBD=2038 YBD=2037 YBD=2042 YBD=2043 YBD=2036 YBD=2036 YBD=2042 YHG=2009>the YHG=2009>colon YHG=2008>and YHG=2008>rectum, YHG=2006>though YHG=2007>insensitive YHG=2007>to YHG=2006>tactile, " XBD=1322 XBD=1485XHG=671 XBD=1677 XBD=1735 XBD=1926 XBD=2150 XHG=1384 XHG=1502 XHG=1693 XHG=1751 XHG=1943 YBD=2049 YBD=2048 YBD=2056 YHG=2019>form YHG=2019>supplied YHG=2019>in YHG=2019>3-minim YHG=2019>capsules. " XBD=2579 XBD=294 XHG=933 XBD=389 XBD=557 XBD=732 XBD=915 XBD=975 XBD=1146 XBD=1204 XBD=1323 XHG=131 XHG=312 XHG=407 XHG=575 XHG=752 XHG=995YBD=2076 XHG=1163 XHG=1223 YBD=2078 YBD=2077 YBD=2081 YBD=2084 YBD=2076 YBD=2075 YBD=2076 YHG=2048>thermal YHG=2047>and YHG=2046>painful YHG=2046>stimuli, YHG=2046>respond YHG=2047>to YHG=2045>tension YHG=2046>in YHG=2046>their " XBD=1499 XBD=1675 XBD=2041 XBD=2104 XBD=2192 XBD=2382 XBD=2491 XHG=1423 XHG=1523 XHG=1881 XHG=2062 XHG=2126 XHG=2212 XHG=2401 XHG=2511 YBD=2089 YBD=2095 YBD=2088 YHG=2058>J)r. YHG=2059>HENRY YHG=2058>recalled YHG=2059>to YHG=2049>the YHG=2059>meeting YHG=2058>that YHG=2058>the " XBD=245 XBD=375 XBD=490 XBD=586 XBD=694 XBD=833 XBD=1038 XBD=1121 XHG=130 XHG=297 XHG=394 XHG=510 XHG=605 XHG=852 XHG=1058 XHG=1140 YBD=2116 YBD=2117 YBD=2115 YBD=2121 YBD=2120 YBD=2115 YHG=2087>walls. YHG=2087>The YHG=2096>anus YHG=2086>and YHG=2085>anal YHG=2085>canal, YHG=2086>however, YHG=2094>are YHG=2085>sensitive " XBD=1322 XBD=1475XHG=712 XBD=1533 XBD=1675 XBD=1732 XBD=1839 XBD=1957 XBD=2018 XBD=2198 XBD=2256 XBD=2386 XBD=2578 XHG=1383 XHG=1490 XHG=1543 XHG=1690 XHG=1746 XHG=1854 XHG=1972 XHG=2029 XHG=2212 XHG=2265 XHG=2400 YBD=2134 YBD=2135 YBD=2128 YBD=2127 YHG=2098>pain YHG=2098>of YHG=2098>fissure YHG=2106>or YHG=2098>piles YHG=2098>leads YHG=2098>to YHG=2097>disorder YHG=2097>of YHG=2098>bowel YHG=2097>mechan" XBD=172 XBD=234 XBD=422 XBD=588 XBD=783 XBD=830 XBD=904 XBD=1059 XBD=1099 XHG=131 XHG=183 XHG=243 XHG=430 XHG=618 XHG=789 XHG=913 XHG=1067 XHG=1109 YBD=2163 YBD=2156 YBD=2154 YBD=2155 YBD=2155 YBD=2155 YHG=2127>to YHG=2126>all YHG=2126>ordinary YHG=2125>stimuli. YHG=2124>Tension YHG=2125>in YHG=2125>the YHG=2125>rectum YHG=2125>is YHG=2125>associated " XBD=1322 XBD=1456XHG=839 XBD=1635 XBD=1750 XBD=1856 XBD=2105 XBD=2205 XBD=2311 XBD=2461 XBD=2578 XHG=1383 XHG=1468 XHG=1646 XHG=1779 XHG=1869 XHG=2118 XHG=2217 XHG=2322 XHG=2472 YBD=2170 YBD=2172 YBD=2174 YBD=2167 YBD=2166 YHG=2137>ism ; YHG=2137>through YHG=2136>fear YHG=2137>and YHG=2136>emphasised YHG=2137>that YHG=2137>such YHG=2137>lesions YHG=2138>must XBD=223 XHG=803 XBD=316 XBD=463 XBD=532 XBD=752 XBD=882 XBD=1034 XBD=1194 XBD=1272 XBD=1322 XHG=130 XHG=250 XHG=344 XHG=490 XHG=560 XHG=908YBD=2194 XHG=1059 XHG=1221 XHG=1298 YBD=2196 YBD=2195 YBD=2194 YBD=2202 YBD=2193 YBD=2194 YHG=2166>with YHG=2166>the YHG=2165>desire YHG=2166>to YHG=2164>defaecate. YHG=2165>The YHG=2164>infant YHG=2164>placed YHG=2173>on YHG=2174>a "" XBD=2578 XBD=1430 XBD=1632 XBD=1775 XBD=2004 XBD=2188 XBD=2235 XBD=2470 XHG=1382 XHG=1447 XHG=1648 XHG=1791 XHG=2020 XHG=2203 XHG=2252 XHG=2517 YBD=2206 YBD=2212 YBD=2205 YHG=2175>be YHG=2176>excluded YHG=2176>before YHG=2172>functional YHG=2176>disorder YHG=2176>is YHG=2172>diagnosed. YHG=2176>He " XBD=309 XBD=366 XBD=449 XBD=643 XBD=788 XBD=847 XBD=1018 XBD=1059 XHG=131 XHG=326 XHG=383 XHG=465 XHG=658 XHG=865 XHG=1036 XHG=1077 YBD=2234 YBD=2241 YBD=2240 YBD=2241 YBD=2233 YHG=2204>chamber YHG=2204>in YHG=2204>the YHG=2204>morning YHG=2203>begins YHG=2204>acquire YHG=2212>a YHG=2203>conditioned " XBD=1321 XBD=1660XHG=806 XBD=1854 XBD=1941 XBD=2062 XBD=2406 XBD=2580 XHG=1383YBD=2233 XHG=1682 XHG=1875 XHG=1961 XHG=2077 XHG=2427 YBD=2245YHG=2204>to YBD=2253 YBD=2252 YHG=2215>distinguished YHG=2215>between YHG=2215>the YHG=2215>jolly. YHG=2215>happy-go-lucky YHG=2212>patient " XBD=244 XBD=382 XBD=516 XBD=738 XBD=866 XBD=947 XBD=1096 XBD=1193 XHG=130 XHG=260 XHG=398 XHG=532 XHG=753 XHG=963 XHG=1128 XHG=1209 YBD=2273 YBD=2280 YBD=2279 YBD=2272 YBD=2278 YBD=2272 YBD=2279 YHG=2244>reflex YHG=2243>which YHG=2243>starts YHG=2242>peristalsis YHG=2243>along YHG=2243>the YHG=2243>colon YHG=2242>the YHG=2242>entry " XBD=1322 XBD=1467XHG=880 XBD=1602 XBD=1749 XBD=1812 XBD=1885 XBD=2041 XBD=2136 XBD=2221 XBD=2384 XBD=2577 XHG=1381 XHG=1486 XHG=1619 XHG=1769 XHG=1824 XHG=1902 XHG=2059 XHG=2154 XHG=2240 XHG=2402 YBD=2285 YBD=2291 YBD=2284 YHG=2254>who ; YHG=2263>never YHG=2254>thinks YHG=2255>of YHG=2254>his YHG=2254>bowels YHG=2254>and YHG=2254>the YHG=2254>gauche YHG=2254>self-con|>" " XBD=175 XBD=408 XBD=498 XBD=670 XBD=786 XBD=912 XBD=977 XBD=1025 XBD=1184 XBD=1320 XBD=302 XHG=131 XHG=326 XHG=432 XHG=522 XHG=692 XHG=807 XHG=935 XHG=1002 XHG=1048 XHG=1205 XHG=192 YBD=2312 YBD=2311 YBD=2310 YBD=2313 YBD=2318 YBD=2310 YHG=2283>of YHG=2282>into YHG=2282>the YHG=2282>rectum YHG=2282>then YHG=2281>leads YHG=2281>to YHG=2283>faeces YHG=2291>a YHG=2281>simple, YHG=2280>reflex " XBD=1505 XBD=1613 XBD=1720 XBD=1804 XBD=1967 XBD=2168 XBD=2349 XBD=2577 XHG=1382 XHG=1520 XHG=1625 XHG=1731 XHG=1817 XHG=1980 XHG=2220 XHG=2361 YBD=2330 YBD=2323 YBD=2322 YBD=2329 YHG=2293>scious YHG=2294>type YHG=2293>with YHG=2293>few YHG=2293>outside YHG=2293>interests. YHG=2292>Bowel YHG=2292>symptoms " XBD=370 XBD=429 XBD=507 XBD=643 XBD=805 XBD=1091 XBD=1160 XHG=131 XHG=385 XHG=441 XHG=522 XHG=821 XHG=1107 XHG=1175 YBD=2351 YBD=2349 YBD=2350 YBD=2357 YBD=2357 YBD=2350 YHG=2320>contraction YHG=2320>of YHG=2320>the YHG=2320>whole YHG=2321>rectum YHG=2319>accompanied YHG=2319>by YHG=2320>relaxa" XBD=1320 XBD=1446XHG=659 XBD=1578 XBD=1696 XBD=1828 XBD=1885 XBD=2013 XBD=2180 XBD=2341 XBD=2396 XBD=2479 XBD=2579 XHG=1382 XHG=1461 XHG=1592 XHG=1710 XHG=1843 XHG=1900 XHG=2028 XHG=2197 XHG=2355 XHG=2412 XHG=2493 YBD=2362 YBD=2369 YBD=2361 YHG=2341>are YHG=2332>much YHG=2340>more YHG=2332>likely YHG=2332>to YHG=2340>mean YHG=2331>organic YHG=2331>disease YHG=2331>in YHG=2332>the YHG=2331>first " XBD=213 XBD=274 XBD=351 XBD=456 XBD=679 XBD=831 XBD=1060 XBD=1263 XHG=129 XHG=230 XHG=287 XHG=369 XHG=474 XHG=730 XHG=846 XHG=1077 XHG=1282 YBD=2390 YBD=2388 YBD=2396 YBD=2389 YBD=2388 YBD=2389 YHG=2361>tion YHG=2360>of YHG=2360>the YHG=2359>anal YHG=2359>sphincter. YHG=2359>Most YHG=2359>functional YHG=2358>disorders YHG=2359>of "" XBD=1325 XBD=1475 XBD=1622 XBD=1701 XBD=1883 XBD=1975 XBD=2026 XBD=2208 XBD=2333 XBD=2578 XHG=1382 XHG=1508 XHG=1635 XHG=1732 XHG=1935 XHG=2003 XHG=2057 XHG=2238 XHG=2363 YBD=2409 YBD=2400 YBD=2408 YBD=2401 YHG=2371>type YHG=2371>than YHG=2370>the YHG=2371>second. YHG=2371>If YHG=2380>a YHG=2370>patient YHG=2365>with YHG=2370>functional XBD=195 XHG=787 XBD=345 XBD=483 XBD=587 XBD=760 XBD=947 XBD=1034 XBD=1205 XBD=1319 XHG=130 XHG=222 XHG=373 XHG=509 XHG=613 XHG=975YBD=2435 XHG=1060 XHG=1232 YBD=2429 YBD=2436 YBD=2428 YBD=2427 YBD=2428 YBD=2428 YBD=2427 YHG=2400>the YHG=2398>pelvic YHG=2398>colon YHG=2398>and YHG=2398>rectum YHG=2398>depend, YHG=2398>Sir YHG=2398>Arthur&dquo; YHG=2407>con" XBD=2577 XBD=1597 XBD=1649 XBD=1830 XBD=1946 XBD=2014 XBD=2111 XBD=2244 XBD=2361 XHG=1382 XHG=1617 XHG=1669 XHG=1848 XHG=1965 XHG=2034 XHG=2129 XHG=2262 XHG=2380 YBD=2441 YBD=2448 YBD=2440 YBD=2439 YBD=2446 YBD=2447 YHG=2410>symptoms YHG=2410>is YHG=2410>asked YHG=2410>How YHG=2410>do YHG=2418>you YHG=2410>think YHG=2419>your YHG=2410>symptom " XBD=259 XBD=331 XBD=597 XBD=711 XBD=808 XBD=975 XBD=1188 XBD=1281 XHG=130 XHG=282 XHG=350 XHG=617 XHG=731 XHG=994 XHG=1241 XHG=1297 YBD=2473 YBD=2466 YBD=2474 YBD=2466 YHG=2439>siders, YHG=2447>on YHG=2437>interference YHG=2437>with YHG=2436>this YHG=2437>normal YHG=2446>sequence. YHG=2437>If YHG=2447>a " XBD=1322 XBD=1413XHG=827 XBD=1600 XBD=1641 XBD=1704 XBD=1793 XBD=1914 XBD=2053 XBD=2171 XBD=2242 XBD=2383 XBD=2577 XHG=1381 XHG=1429 XHG=1620 XHG=1656 XHG=1717 XHG=1806 XHG=1928 XHG=2066 XHG=2184 XHG=2255 XHG=2397 YBD=2461 YBD=2479 YBD=2478 YBD=2485 YHG=2448>is YHG=2449>caused YHG=2449>&dquo; YHG=2449>he YHG=2449>will YHG=2449>often YHG=2449>reveal YHG=2448>what YHG=2448>his YHG=2448>illness YHG=2449>prevents ? " XBD=203 XBD=249 XBD=333 XBD=460 XBD=592 XBD=674 XBD=835 XBD=1005 XBD=1103 XBD=1215 XHG=132 XHG=217 XHG=264 XHG=348 XHG=474 XHG=608 XHG=849 XHG=1043 XHG=1117 XHG=1231 YBD=2506 YBD=2513 YBD=2505 YBD=2505 YBD=2505 YHG=2477>call YHG=2477>is YHG=2477>not YHG=2476>acted YHG=2484>upon, YHG=2476>the YHG=2476>rectum YHG=2476>relaxes. YHG=2476>He YHG=2475>finds YHG=2476>that " XBD=1320 XBD=1464XHG=687 XBD=1613 XBD=1722 XBD=1859 XBD=1923 XBD=2037 XBD=2198 XBD=2273 XBD=2356 XBD=2451 XBD=2575 XHG=1382 XHG=1497 XHG=1645 XHG=1753 XHG=1890 XHG=1956 XHG=2070 XHG=2231 XHG=2307 XHG=2388 XHG=2483 YBD=2524 YBD=2525 YBD=2516 YBD=2517 YHG=2487>him YHG=2488>doing YHG=2488>and YHG=2488>what YHG=2487>it YHG=2489>gets YHG=2488>others YHG=2488>to YHG=2487>do YHG=2487>for YHG=2487>him. " XBD=2578 XBD=220 XHG=924 XBD=321 XBD=494 XBD=557 XBD=827 XBD=907 XBD=997 XBD=1056 XBD=1320 XHG=131 XHG=237 XHG=335 XHG=513 XHG=570 XHG=844 XHG=1015 XHG=1073 YBD=2546 YBD=2545 YBD=2552 YBD=2544 YBD=2545 YHG=2525>over YHG=2515>half YHG=2515>of-cases YHG=2515>of YHG=2514>constipation YHG=2523>are YHG=2515>due YHG=2515>to YHG=2514>interference " XBD=1557 XBD=1639 XBD=1811 XBD=1853 XBD=2041 XBD=2276 XBD=2338 XHG=1382 XHG=1575 XHG=1764 XHG=1829 XHG=1870 XHG=2058 XHG=2293 XHG=2350 YBD=2556 YBD=2565 YBD=2557 YBD=2564 YHG=2527>Pruritus YHG=2527>ani YHG=2527>be YHG=2536>a YHG=2527>physical YHG=2526>expression YHG=2526>of YHG=2527>suppressed " XBD=224 XBD=324 XBD=474 XBD=554 XBD=630 XBD=896 XBD=1168 XHG=130 XHG=258 XHG=359 XHG=511 XHG=587 XHG=932 XHG=1218 YBD=2585 YBD=2583 YBD=2584 YBD=2591 YBD=2584 YBD=2584 YHG=2555>with YHG=2555>the YHG=2554>reflex YHG=2562>or YHG=2555>to YHG=2554>inadequate YHG=2553>defecation. YHG=2553>Most " XBD=1321 XBD=1590XHG=665 XBD=1812 XBD=1924 XBD=2138 XBD=2225 XBD=2516 XBD=2582 XHG=1382 XHG=1610 XHG=1865 XHG=1947 XHG=2159 XHG=2246 XHG=2537 YBD=2595 YBD=2597 YBD=2602 YBD=2596 YHG=2566>emotional YHG=2566>irritation. YHG=2566>He YHG=2566>discussed YHG=2565>the YHG=2566>management YHG=2566>of " XBD=263 XBD=363 XBD=492 XBD=601 XBD=679 XBD=937 XBD=1070 XBD=1184 XHG=130 XHG=278 XHG=379 XHG=507 XHG=618 XHG=952 XHG=1084 XHG=1198 YBD=2631 YBD=2623 YBD=2622 YBD=2630 YBD=2631 YBD=2623 YBD=2630 YHG=2594>people YHG=2594>who YHG=2593>think YHG=2593>they YHG=2602>are YHG=2593>constipated YHG=2593>really YHG=2593>have YHG=2590>liquid " XBD=1320 XBD=1406XHG=696 XBD=1520 XBD=1686 XBD=1986 XBD=2059 XBD=2307 XBD=2577 XHG=1382 XHG=1435 XHG=1550 XHG=1712 XHG=2015 XHG=2083 XHG=2360 YBD=2635 YBD=2643 YBD=2634 YBD=2642 YBD=2641 YHG=2614>a YHG=2614>case YHG=2605>during YHG=2605>investigation YHG=2605>of YHG=2605>symptoms. YHG=2605>Specimens " XBD=2575 XBD=247 XHG=909 XBD=304 XBD=342 XBD=475 XBD=535 XBD=788 XBD=896 XBD=994 XBD=1050 XBD=1177 XBD=1226 XBD=1321 XHG=130 XHG=263 XHG=320 XHG=357 XHG=490 XHG=544 XHG=819 XHG=1005 XHG=1058 XHG=1192 XHG=1237 YBD=2662 YBD=2669 YBD=2661 YBD=2667 YBD=2661 YBD=2662 YHG=2633>stools YHG=2641>as YHG=2641>a YHG=2632>result YHG=2631>of YHG=2631>purgatives YHG=2633>and YHG=2631>half YHG=2632>of YHG=2633>these, YHG=2632>if YHG=2632>told ; " XBD=1519 XBD=1587 XBD=1725 XBD=1854 XBD=1940 XBD=2111 XBD=2161 XBD=2222 XBD=2315 XBD=2377 XHG=1382 XHG=1538 XHG=1607 XHG=1743 XHG=1874 XHG=1960 XHG=2129 XHG=2181 XHG=2241 XHG=2336 XHG=2395 YBD=2674 YBD=2673 YBD=2681 YHG=2644>should YHG=2644>be YHG=2644>taken YHG=2644>while YHG=2644>the YHG=2643>patient YHG=2643>is YHG=2643>bed YHG=2644>in YHG=2643>hospital. " XBD=171 XBD=271 XBD=336 XBD=551 XBD=639 XBD=738 XBD=775 XBD=934 XBD=1055 XBD=1165 XHG=130 XHG=184 XHG=285 XHG=347 XHG=563 XHG=651 XHG=752 XHG=945 XHG=1106 XHG=1176 YBD=2707 YBD=2700 YBD=2708 YBD=2701 YBD=2701 YBD=2701 YHG=2671>to YHG=2672>stop YHG=2671>all YHG=2671>aperients, YHG=2671>will YHG=2679>pass YHG=2680>a YHG=2671>normal YHG=2671>stool. YHG=2671>Sir YHG=2671>Arthur " XBD=1322 XBD=1443XHG=787 XBD=1597 XBD=1669 XBD=1825 XBD=1873 XBD=2024 XBD=2092 XBD=2179 XBD=2343 XBD=2449 XBD=2577 XHG=1383 XHG=1472 XHG=1622 XHG=1694 XHG=1850 XHG=1897 XHG=2048 XHG=2112 XHG=2203 XHG=2371 XHG=2478 YBD=2720 YBD=2712 YBD=2713 YHG=2684>He YHG=2683>might YHG=2683>be YHG=2684>shown YHG=2692>a YHG=2683>model YHG=2683>of YHG=2683>the YHG=2682>bowels YHG=2682>and YHG=2678>have " XBD=319 XBD=400 XBD=562 XBD=620 XBD=937 XBD=1012 XBD=1171 XHG=130 XHG=335 XHG=416 XHG=577 XHG=632 XHG=953 XHG=1027 XHG=1185 YBD=2746 YBD=2739 YBD=2740 YBD=2740 YBD=2740 YBD=2748 YHG=2709>regretted YHG=2710>the YHG=2709>revival YHG=2710>of YHG=2709>establishments YHG=2710>for YHG=2710>colonic YHG=2711>lavage " XBD=1320 XBD=1482 XBD=1627 XBD=1836 XBD=1892 XBD=2139 XBD=2294 XBD=2364 XBD=2576 XHG=1383 XHG=1497 XHG=1636 XHG=1851 XHG=1906 XHG=2170 XHG=2313 XHG=2383 YBD=2759 YBD=2751 YBD=2752 YHG=2723>their YHG=2723>action YHG=2722>explained YHG=2723>to YHG=2722>him-once. YHG=2722>When YHG=2722>all YHG=2722>examinacolonic " XBD=201 XBD=610 XBD=696 XBD=933 XBD=1025 XHG=130 XHG=380 XHG=631 XHG=715 XHG=953 XHG=1042 YBD=2769 YBD=2784 YBD=2778 YBD=2780 YBD=2779 YBD=2783 YHG=2748>-14 YHG=2748>laundries,&dquo; YHG=2749>the YHG=2749>Americans YHG=2750>call YHG=2750>them-where " XBD=1320 XBD=1484 XBD=1577 XBD=1698 XBD=1774 XBD=1877 XBD=1948 XBD=2086 XBD=2242 XBD=2318 XBD=2401 XBD=2578 XHG=1381 XHG=1514 XHG=1608 XHG=1726 XHG=1805 XHG=1900 XHG=1973 XHG=2109 XHG=2267 XHG=2342 XHG=2426 YBD=2792 YBD=2790 YBD=2791 YBD=2798 YHG=2763>tions YHG=2771>are YHG=2771>over YHG=2762>he YHG=2770>can YHG=2761>be YHG=2761>given YHG=2761>advice YHG=2771>on YHG=2760>his YHG=2761>private " XBD=1457 XBD=196 XHG=842 XBD=314 XBD=453 XBD=502 XBD=713 XBD=825 XBD=884 XBD=1016 XBD=1074 XBD=1139 XBD=1263 XBD=1325 XHG=131 XHG=213 XHG=332 XHG=469 XHG=520 XHG=731 XHG=901YBD=2819 XHG=1033 XHG=1094 XHG=1158 XHG=1281 YBD=2823 YBD=2816 YBD=2817 YBD=2818 YBD=2818 YBD=2819 YBD=2825 YBD=2818 YHG=2788>the YHG=2787>large YHG=2787>bowel YHG=2787>is YHG=2788>assaulted YHG=2788>with YHG=2798>as YHG=2789>much YHG=2798>as YHG=2789>30 YHG=2789>pints YHG=2789>of " XHG=1380 YBD=2830 YHG=2800>life. " XBD=260 XBD=310 XBD=422 XBD=490 XBD=541 XBD=671 XBD=832 XBD=923 XBD=1024 XBD=1095 XBD=1227 XHG=130 XHG=287 XHG=336 XHG=448 XHG=517 XHG=565 XHG=722 XHG=949 XHG=1052 XHG=1123 XHG=1253 YBD=2859 YBD=2862 YBD=2855 YBD=2856 YBD=2857 YBD=2857 YBD=2864 YBD=2857 YHG=2826>water, YHG=2826>pint YHG=2826>at YHG=2835>a YHG=2826>time. YHG=2827>After YHG=2827>the YHG=2827>last YHG=2828>10 YHG=2827>pints YHG=2828>the " XBD=1320 XBD=1497XHG=857 XBD=1886 XBD=2036 XBD=2139 XBD=2218 XBD=2322 XBD=2486 XBD=2577 XHG=1432 XHG=1749 XHG=1901 XHG=2051 XHG=2152 XHG=2234 XHG=2336 XHG=2500 YBD=2875 YBD=2869 YBD=2876 YBD=2868 YHG=2839>Dr. YHG=2839>EVANS YHG=2838>agreed YHG=2838>that YHG=2839>the YHG=2839>anal YHG=2839>margin YHG=2838>and "" XBD=1326 XBD=306 XBD=445 XBD=668 XBD=881 XBD=1011 XBD=1251 XHG=130 XHG=336 XHG=474 XHG=909 XHG=1043 XHG=1282 YBD=2894 YBD=2903 YBD=2903 YBD=2904 YBD=2895 YHG=2864>offended YHG=2864>colon YHG=2866>naturally YHG=2866>produces YHG=2867>large YHG=2866>quantities YHG=2866>of XBD=1492XHG=697 XBD=1619 XBD=1690 XBD=1961 XBD=2106 XBD=2163 XBD=2303 XBD=2457 XBD=2510 XBD=2578 XHG=1382 XHG=1514 XHG=1643 XHG=1713 XHG=1982 XHG=2128 XHG=2182 XHG=2325 XHG=2478 XHG=2534 YBD=2915 YBD=2908 YBD=2907 YHG=2878>canal YHG=2878>must YHG=2878>be YHG=2877>structurally YHG=2878>intact YHG=2878>if YHG=2878>bowel YHG=2878>action YHG=2878>is YHG=2878>to |>" " XBD=336 XBD=539 XBD=607 XBD=826 XBD=1126 XBD=1246 XBD=974 XHG=130 XHG=361 XHG=565 XHG=634 XHG=1000 XHG=1152 XHG=1272 XHG=851 YBD=2933 YBD=2941 YBD=2934 YBD=2935 YBD=2940 YBD=2935 YBD=2934 YHG=2912>mucus-a YHG=2912>response YHG=2905>to YHG=2905>irritation YHG=2905>which YHG=2905>would YHG=2905>then YHG=2905>be " XBD=1320 XBD=1430 XBD=1607 XBD=1736 XBD=1920 XBD=1981 XBD=2190 XBD=2256 XBD=2369 XBD=2419 XBD=2577 XHG=1382 XHG=1447 XHG=1658 XHG=1752 XHG=1937 XHG=1993 XHG=2208 XHG=2274 XHG=2387 XHG=2438 YBD=2954 YBD=2946 YBD=2952 YBD=2947 YBD=2953 YHG=2916>be YHG=2917>normal. YHG=2917>The YHG=2917>practice YHG=2917>of YHG=2916>medicine, YHG=2918>he YHG=2917>said, YHG=2917>is YHG=2917>chang" XBD=306 XBD=368 XBD=601 XBD=807 XBD=965 XBD=1034 XBD=1150 XHG=130 XHG=327 XHG=391 XHG=651 XHG=829 XHG=986 XHG=1056 XHG=1173 YBD=2972 YBD=2973 YBD=2974 YBD=2979 YBD=2973 YBD=2978 YBD=2980 YHG=2943>reported YHG=2952>as YHG=2943>abnormal. YHG=2944>Mucous YHG=2944>colitis, YHG=2944>he YHG=2944>said, YHG=2943>though "" XBD=1321 XBD=1472 XBD=1708 XBD=1754 XBD=1798 XBD=1836 XBD=2072 XBD=2257 XBD=2337 XBD=2487 XBD=2577 XHG=1381 XHG=1501 XHG=1722 XHG=1766 XHG=1812 XHG=1851 XHG=2085 XHG=2270 XHG=2352 XHG=2500 YBD=2992 YBD=2993 YBD=2996 YBD=2986 YBD=2985 YHG=2956>ing YHG=2955>nowadays YHG=2956>it YHG=2955>is YHG=2965>a YHG=2956>conspiracy YHG=2956>between YHG=2956>the YHG=2955>doctor YHG=2956>and ; XBD=245 XHG=871 XBD=332 XBD=527 XBD=640 XBD=686 XBD=796 XBD=854 XBD=931 XBD=1089 XBD=1221 XBD=1280 XBD=1321 XHG=131 XHG=261 XHG=350 XHG=543 XHG=655 XHG=702 XHG=812 XHG=948YBD=3018 XHG=1107 XHG=1238 XHG=1296 YBD=3010 YBD=3011 YBD=3013 YBD=3020 YBD=3012 YBD=3011 YHG=2982>much YHG=2982>less YHG=2990>common YHG=2983>than YHG=2983>it YHG=2984>used YHG=2984>to YHG=2983>be, YHG=2983>always YHG=2982>arises YHG=2991>as YHG=2991>a " XBD=2578 XBD=1449 XBD=1620 XBD=1789 XBD=1873 XBD=2047 XBD=2152 XBD=2320 XBD=2416 XBD=2511 XHG=1382 XHG=1467 XHG=1638 XHG=1807 XHG=1893 XHG=2099 XHG=2171 XHG=2339 XHG=2436 XHG=2529 YBD=3031 YBD=3032 YBD=3026 YBD=3025 YBD=3024 YHG=2995>patient YHG=2995>against YHG=2995>the YHG=2995>disease. YHG=2995>To YHG=2996>further YHG=2995>this YHG=2995>end YHG=2995>he " XBD=248 XBD=311 XBD=350 XBD=500 XBD=604 XBD=711 XBD=862 XBD=913 XBD=1132 XBD=1251 XHG=130 XHG=268 XHG=327 XHG=369 XHG=518 XHG=623 XHG=730 XHG=934 XHG=1150 XHG=1271 YBD=3049 YBD=3050 YBD=3058 YBD=3051 YBD=3051 YBD=3050 YHG=3020>result YHG=3021>of YHG=3030>a YHG=3030>wrong YHG=3022>idea YHG=3023>that YHG=3031>mucus YHG=3022>is YHG=3021>abnormal YHG=3021>after YHG=3029>an " XBD=1322 XBD=1486XHG=881 XBD=1564 XBD=1749 XBD=1791 XBD=1906 XBD=2122 XBD=2359 XBD=2462 XBD=2579 XHG=1382 XHG=1504 XHG=1580 XHG=1767 XHG=1806 XHG=1924 XHG=2139 XHG=2374 XHG=2478 YBD=3070 YBD=3065 YBD=3071 YBD=3064 YHG=3033>gives YHG=3034>his YHG=3034>patients YHG=3043>a YHG=3034>little YHG=3035>pamphlet YHG=3034>explaining YHG=3035>how YHG=3034>their " XBD=302 XBD=369 XBD=418 XBD=628 XBD=850 XBD=1023 XBD=1139 XBD=1206 XHG=131 XHG=327 XHG=394 XHG=442 XHG=875 XHG=1046 XHG=1164 XHG=1231 YBD=3094 YBD=3090 YBD=3089 YBD=3089 YBD=3089 YBD=3096 YHG=3059>aperient YHG=3069>or YHG=3070>a YHG=3060>washout. YHG=3061>Nervous YHG=3069>women YHG=3059>used YHG=3060>to YHG=3068>pass " XBD=1320 XBD=1522XHG=678 XBD=1675 XBD=1805 XBD=2021 XBD=2162 XBD=2441 XBD=2579 XHG=1382 XHG=1559 XHG=1727 XHG=1842 XHG=2056 XHG=2197 XHG=2478 YBD=3102 YBD=3110 YBD=3103 YHG=3072>bowels YHG=3073>work. YHG=3073>The YHG=3082>surgeons YHG=3073>must YHG=3073>rehabilitate YHG=3073>their " XBD=2580 XBD=329 XHG=873 XBD=503 XBD=632 XBD=859 XBD=968 XBD=1162 XBD=1321 XHG=131 XHG=344 XHG=519 XHG=648 XHG=982YBD=3128 XHG=1177 YBD=3133 YBD=3135 YBD=3127 YHG=3106>enormous YHG=3108>mucous YHG=3099>casts, YHG=3098>associated YHG=3098>with YHG=3098>irregular YHG=3098>colonic " XBD=1564 XBD=1719 XBD=1833 XBD=2056 XBD=2149 XBD=2230 XBD=2371 XBD=2427 XBD=2520 XHG=1381 XHG=1581 XHG=1733 XHG=1848 XHG=2072 XHG=2164 XHG=2244 XHG=2385 XHG=2443 XHG=2535 YBD=3147 YBD=3149 YBD=3141 YBD=3142 YHG=3111>patients’ YHG=3111>bowels YHG=3112>after YHG=3111>operation, YHG=3112>and YHG=3112>the YHG=3111>target YHG=3113>to YHG=3112>aim YHG=3112>at " XBD=272 XBD=531 XBD=643 XBD=725 XBD=868 XBD=929 XBD=1105 XBD=1215 XHG=132 XHG=291 XHG=548 XHG=658 XHG=742 XHG=941 XHG=1155 XHG=1233 YBD=3172 YBD=3167 YBD=3174 YBD=3166 YBD=3166 YBD=3166 YHG=3145>spasm, YHG=3137>comparable YHG=3137>with YHG=3138>the YHG=3146>spasm YHG=3137>of YHG=3137>asthma. YHG=3137>He YHG=3145>con" XBD=1320 XBD=1414XHG=885 XBD=1458 XBD=1706 XBD=1770 XBD=1809 XBD=1927 XBD=2046 XBD=2160 XBD=2205 XBD=2332 XBD=2397 XBD=2577 XHG=1381 XHG=1438 XHG=1476 XHG=1726 XHG=1786 XHG=1829 XHG=1947 XHG=2065 XHG=2181 XHG=2224 XHG=2352 XHG=2414 YBD=3179 YBD=3163 YBD=3181 YBD=3180 YBD=3187 YHG=3150>is YHG=3150>&dquo; YHG=3151>evacuation YHG=3151>solid YHG=3151>stool YHG=3151>with YHG=3160>a YHG=3159>sense YHG=3151>of YHG=3151>comple" XBD=247 XBD=350 XBD=451 XBD=510 XBD=632 XBD=697 XBD=859 XBD=1007 XBD=1091 XBD=1320 XHG=130 XHG=263 XHG=365 XHG=466 XHG=529 XHG=654 XHG=716 XHG=880 XHG=1028 XHG=1112 YBD=3204 YBD=3213 YBD=3206 YBD=3205 YBD=3212 YBD=3205 YBD=3212 YHG=3175>siders YHG=3177>that YHG=3177>90% YHG=3185>cases YHG=3176>of YHG=3176>colonic YHG=3184>spasm YHG=3184>are YHG=3173>secondary " XBD=1467 XBD=1581 XBD=1741 XBD=1815 XBD=1938 XBD=2009 XBD=2125 XBD=2247 XBD=2366 XBD=2485 XBD=2578 XHG=1382 XHG=1484 XHG=1604 XHG=1766 XHG=1837 XHG=1961 XHG=2032 XHG=2148 XHG=2267 XHG=2391 XHG=2509 YBD=3218 YBD=3227 YBD=3226 YBD=3220 YBD=3219 YHG=3189>tion YHG=3189>&dquo;-a YHG=3190>phrase YHG=3190>fears YHG=3190>he YHG=3199>may YHG=3190>have YHG=3190>used YHG=3199>once YHG=3190>too " XBD=2577 XBD=251 XBD=308 XBD=465 XBD=527 XBD=729 XBD=788 XBD=846 XBD=1142 XBD=1320 XHG=131 XHG=268 XHG=326 XHG=483 XHG=540 XHG=747 XHG=805 XHG=864 XHG=1158 YBD=3244 YBD=3251 YBD=3243 YBD=3250 YBD=3251 YHG=3214>either YHG=3216>to YHG=3216>misuse YHG=3215>of YHG=3215>aperients YHG=3223>or YHG=3215>to YHG=3214>carbohydrate YHG=3214>dyspep|>" " XBD=1491 XBD=1627 XBD=1695 XBD=1911 XBD=1987 XBD=2099 XBD=2323 XHG=1383 XHG=1526 XHG=1662 XHG=1723 XHG=1946 XHG=2013 XHG=2350 XHG=2126 YBD=3265 YBD=3258 YBD=3257 YBD=3266 YBD=3258 YHG=3228>often YHG=3229>since YHG=3229>it YHG=3228>appeared YHG=3229>in YHG=3228>THE YHG=3229>peripatetic YHG=3228>LANCET’S " XBD=197 XBD=289 XBD=340 XBD=502 XBD=566 XBD=757 XBD=820 XBD=1021 XBD=1104 XBD=1246 XHG=131 XHG=250 XHG=310 XHG=362 XHG=525 XHG=589 XHG=842 XHG=1038 XHG=1118 XHG=1268 YBD=3282 YBD=3283 YBD=3289 YBD=3281 YBD=3288 YBD=3282 YBD=3289 YBD=3290 YHG=3252>sia. YHG=3254>It YHG=3255>is YHG=3254>useless YHG=3254>to YHG=3253>attempt YHG=3253>to YHG=3253>diagnose YHG=3253>the YHG=3261>spasm YHG=3253>by " XBD=1321 XBD=1547XHG=777 XBD=1658 XBD=1851 XBD=2089 XBD=2161 XBD=2361 XBD=2430 XBD=2507 XBD=2578 XHG=1383 XHG=1599 XHG=1688 XHG=1879 XHG=2117 XHG=2183 XHG=2388 XHG=2459 XHG=2536 YBD=3296 YBD=3304 YBD=3297 YHG=3267>column. YHG=3267>He YHG=3267>believes YHG=3267>perfection YHG=3267>of YHG=3267>function YHG=3268>to YHG=3267>be YHG=3277>as " XBD=171 XBD=279 XBD=460 XBD=523 XBD=621 XBD=719 XBD=764 XBD=933 XBD=1088 XBD=1239 XHG=133 XHG=191 XHG=301 XHG=482 XHG=543 XHG=636 XHG=741 XHG=956 XHG=1108 XHG=1254 YBD=3329 YBD=3322 YBD=3321 YBD=3328 YBD=3320 YBD=3320 YBD=3320 YHG=3291>X YHG=3300>rays YHG=3293>because YHG=3292>in YHG=3300>any YHG=3300>case YHG=3300>a YHG=3291>barium YHG=3299>enema YHG=3291>makes YHG=3291>the " XBD=1321 XBD=1595XHG=785 XBD=1658 XBD=1896 XBD=2183 XBD=2434 XBD=2580 XHG=1382 XHG=1616 XHG=1679 XHG=1949 XHG=2204 XHG=2455 YBD=3335 YBD=3342 YBD=3336 YHG=3305>important YHG=3315>as YHG=3306>regularity. YHG=3306>Incomplete YHG=3306>evacuation YHG=3306>which " XBD=247 XBD=454 XBD=566 XBD=715 XBD=837 XBD=969 XBD=1051 XHG=132 XHG=270 XHG=506 XHG=595 XHG=745 XHG=997 XHG=1079 YBD=3360 YBD=3358 YBD=3359 YBD=3366 YBD=3359 YHG=3322>colon YHG=3332>contract. YHG=3331>He YHG=3331>treats YHG=3329>such YHG=3338>cases YHG=3329>by YHG=3338>reassurance " XBD=1321 XBD=1508XHG=866 XBD=1569 XBD=1652 XBD=1817 XBD=1860 XBD=1981 XBD=2044 XBD=2166 XBD=2227 XBD=2311 XBD=2371 XBD=2414 XBD=2579 XHG=1382 XHG=1527 XHG=1586 XHG=1670 XHG=1836 XHG=1877 XHG=2000 XHG=2056 XHG=2185 XHG=2246 XHG=2329 XHG=2390 XHG=2432 YBD=3373 YBD=3381 YBD=3375 YBD=3374 YHG=3344>leaves YHG=3345>in YHG=3345>the YHG=3346>rectum YHG=3353>a YHG=3344>piece YHG=3345>of YHG=3344>faeces YHG=3353>as YHG=3345>big YHG=3354>as YHG=3354>a YHG=3345>walnut "" XBD=1320 XBD=207 XBD=360 XBD=700 XBD=889 XBD=1003 XBD=1047 XBD=1176 XHG=132 XHG=228 XHG=381 XHG=751 XHG=910 XHG=1023 XHG=1067 XHG=1196 YBD=3398 YBD=3407 YBD=3404 YBD=3397 YBD=3397 YBD=3398 YHG=3370>and YHG=3370>simple YHG=3369>psychotherapy. YHG=3368>People YHG=3367>with YHG=3378>a YHG=3369>colon YHG=3368>obsesXBD=1426 XBD=1537 XBD=1573 XBD=1659 XBD=1748 XBD=1849 XBD=1947 XBD=2007 XBD=2164 XBD=2223 XBD=2348 XBD=2578 XHG=1383 XHG=1441 XHG=1550 XHG=1587 XHG=1673 XHG=1764 XHG=1863 XHG=1960 XHG=2021 XHG=2181 XHG=2238 XHG=2363 YBD=3419 YBD=3417 YBD=3412 YBD=3413 YBD=3420 YHG=3392>or YHG=3392>even YHG=3393>a YHG=3391>pea YHG=3383>will YHG=3383>give YHG=3383>rise, YHG=3383>he YHG=3383>thinks, YHG=3383>to YHG=3384>those YHG=3384>symptoms " XBD=1322 XBD=214 XHG=922 XBD=371 XBD=440 XBD=574 XBD=639 XBD=792 XBD=902 XBD=955 XBD=1066 XBD=1158 XHG=131 XHG=235 XHG=394 XHG=462 XHG=597 XHG=661 XHG=814 XHG=977YBD=3435 XHG=1088 XHG=1179 YBD=3438 YBD=3437 YBD=3436 YBD=3436 YBD=3436 YBD=3437 YHG=3409>sion YHG=3409>should YHG=3409>be YHG=3407>made YHG=3407>to YHG=3407>realise YHG=3407>that YHG=3407>it YHG=3406>does YHG=3408>not YHG=3407>matter " XBD=1272 XBD=300 XHG=894 XBD=410 XBD=490 XBD=607 XBD=761 XBD=877 XBD=944 XBD=1037 XBD=1167 XHG=132 XHG=317 XHG=427 XHG=507 XHG=623 XHG=779 XHG=960YBD=3475 XHG=1054 XHG=1183 YBD=3478 YBD=3484 YBD=3483 YBD=3476 YBD=3482 YBD=3483 YBD=3482 YHG=3448>whether YHG=3448>they YHG=3448>get YHG=3446>their YHG=3445>bowels YHG=3454>open YHG=3454>on YHG=3455>any YHG=3445>given YHG=3445>day.

2. Herendeen, R. E. Amer. J. Surg.

1930, 8,

122.

’

’-

WILSON

may

B

GEOFFREY

1. See Lancet,

1935, ii, 243.