A CASE OF EUWING'S TUMOUR By Captain G. S. RAO, m-b., b.s. (Andhra) Salur (Vizagapatam Dist.) Name and
family history.?K., 18 years Kapu, cultivator, belongs to Kottavalsa near Parvatipuram, Visakhapatnam District. Previous history.?Had extensive burns, leaving scars over right hand and right calf about 2 years age,
ago. Present
history.?He
ran
to
overtake
a
running cart over a distance of a few yards i" the last week of April 1949, and at the close of the run felt a slight but sharp pain at the site a
of the present swelling. It lasted only for few minutes. No further pain or swelling was felt subsequently till the first week of June 1949, when a swelling over the upper part of the right thigh was noticed. The swelling gradually increased up to the present dimensions. Thc only symptom that has been worrying him^ever since the swelling appeared is the pain. The pain of late has been very intense and causing
sleeplessness. Physical findings.?A
well-nourished young adult. Not anaemic. No oedema over any part of the body. No deformities (except the extensive scar tissue over right hand due to old burns). Walks with slightly flexed hip joint-
fright side). C.Y.S.
..
..
N.A.D.
A.S.
..
..
N.A.D.
C.N.S.
..
..
N.A.D.
.
Swelling.?An almost fusiform swelling confined to the upper 1/3 of thc thigh. The skin over the swelling is hardened by some blisters applied by the patient at home for the relief ot pain. No enlarged veins seen over thc surface. The swelling is rather soft and mainly confined to the anterior and lateral aspects of the upper portion of the right femur. It is warm to touch and tender on deep pressure alone on the anterior aspect. Even on this deep pressure n is not tender on the lateral aspect. It is fixed and not movable. No pulsation is felt. hip joint is limited due to the swelling. Temperature in the evening rises up to 99.4?F. Morning it was 98?F. He was undei my observation for five days. Flexion at the
W.B.C. total count 1; M! 1.
:
8.200.
P. 68; L. 30; #?
Urine.?No sugar; no albumin; Jones proteins; phosphates -]?J?
no
Bence-
The n-ray finding of the tumours?suggestion of Euwing's tumour (see figures 1 and 2, plate XXX). In view of the rarity of the disease the case reported. At the outset one is apt to mistake it for an inflammatory condition (abscess); at any rate the writer so mistook it.
-
A CASE OF EUWIXG'S TUMOUR
:
G. S. RAO.
(M. H. P.)
PAGE 502
mmm
;;;;
Fig. 1. Fig. 1.
Fisr. Fig.
2.
family history.?K., 18 years Kapu, cultivator, belongs to Kottavalsa near Parvatipuram, Visakhapatnam District. Previous history.?Had extensive burns, leaving scars over right hand and right calf about 2 years age,
ago. Present
history.?He
ran
to
overtake
a
running cart over a distance of a few yards i" the last week of April 1949, and at the close of the run felt a slight but sharp pain at the site a
of the present swelling. It lasted only for few minutes. No further pain or swelling was felt subsequently till the first week of June 1949, when a swelling over the upper part of the right thigh was noticed. The swelling gradually increased up to the present dimensions. Thc only symptom that has been worrying him^ever since the swelling appeared is the pain. The pain of late has been very intense and causing
sleeplessness. Physical findings.?A
well-nourished young adult. Not anaemic. No oedema over any part of the body. No deformities (except the extensive scar tissue over right hand due to old burns). Walks with slightly flexed hip joint-
fright side). C.Y.S.
..
..
N.A.D.
A.S.
..
..
N.A.D.
C.N.S.
..
..
N.A.D.
.
Swelling.?An almost fusiform swelling confined to the upper 1/3 of thc thigh. The skin over the swelling is hardened by some blisters applied by the patient at home for the relief ot pain. No enlarged veins seen over thc surface. The swelling is rather soft and mainly confined to the anterior and lateral aspects of the upper portion of the right femur. It is warm to touch and tender on deep pressure alone on the anterior aspect. Even on this deep pressure n is not tender on the lateral aspect. It is fixed and not movable. No pulsation is felt. hip joint is limited due to the swelling. Temperature in the evening rises up to 99.4?F. Morning it was 98?F. He was undei my observation for five days. Flexion at the
W.B.C. total count 1; M! 1.
:
8.200.
P. 68; L. 30; #?
Urine.?No sugar; no albumin; Jones proteins; phosphates -]?J?
no
Bence-
The n-ray finding of the tumours?suggestion of Euwing's tumour (see figures 1 and 2, plate XXX). In view of the rarity of the disease the case reported. At the outset one is apt to mistake it for an inflammatory condition (abscess); at any rate the writer so mistook it.
-
A CASE OF EUWIXG'S TUMOUR
:
G. S. RAO.
(M. H. P.)
PAGE 502
mmm
;;;;
Fig. 1. Fig. 1.
Fisr. Fig.
2.
