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Dallas B. Phemister, M.D.
AMA Arch Surg. 1951;63(6):715-717. doi:10.1001/archsurg.1951.01250040731001.
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SARCOMAS of bone presenting no evidence of metastases are customarily treated by amputation if located in an extremity and by resection or excision if located in an accessible bone of other parts of the body. The prognosis following this type of management is relatively unfavorable and the five-year survival rate for bone sarcomas as a group is somewhat less than 20%. It is higher for extremity cases treated by amputation (excluding palliative amputation in patients with known metastases) than for the other group treated by resection or excision; however, the results in the writer's experience are not strikingly different for the two groups, especially if the resection is performed at an early stage.

Despite the fact that some worthwhile results have been obtained by massive resection of sarcomas of bones of the extremities, there is still reluctance on the part of surgeons to employ this method of treatment in any


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