Extirpation of the Scapula with Preservation of the Arm.
—Périer reports the case of a man aged 55 years in which he removed the right scapula. In July, 1889, the patient noticed a small tumor on the right shoulder which by October had reached the size of one's fist; the skin covering it was glossy, tense and discolored. There was no ganglionic enlargement and no pain; the movements of the joint were free and the general health perfect; the case was evidently one of sarcoma requiring extirpation. The acromion and a small portion of the spine of the scapula were first resected; upon examination of the surface of the bone section islets of a dark melanotic hue were seen and it became necessary to remove the entire scapula after detaching the adjacent muscles. A large wound remained, at the bottom of which the head of the humerus could be seen surrounded