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The principles of management of pathologic fractures in the long bones are reviewed, and a series of 45 fractures treated by internal fixation is compared with 26 fractures treated by other nonsurgical procedures. Internal fixation and radiation therapy provide better and longer lasting palliative results in these patients, provided clear indications for this method of management are carefully evaluated. Relief of pain is observed in over 80% of the patients and satisfactory healing and functional results in about 75%. The value of prophylactic fixation and irradiation of large osteolytic lesions in weight‐bearing bones with a high risk of fracture is emphasized.

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An analysis of 104 patients with germinal tumors of the testis other than seminoma treated at Brooke General Hospital from July 1, 1947 to March 31, 1971 is presented. Retroperitoneal metastases were found at surgery in 37% of patients with clinical Stage I disease who had an excretory urogram interpreted as normal. Retroperitoneal recurrences developed in 47% of patients with embryonal carcinoma and teratocarcinoma, clinical Stages I and II, who had positive lymphadenectomies; whereas, retroperitoneal recurrences developed in only 5% of patients having negative lymphadenectomies. The 3‐year and 5‐year survival rates for the entire series of 104 patients were 52 and 47%, respectively. The 3‐year survival rates for all patients with embryonal carcinoma, adult teratoma, and teratocarcinoma were 35, 100, and 63%, respectively.