-'22 Report of Cases hi the Fhishury Dispmsarj/ . 



lations, and was completely cicatrized in much less time 

 than could have been expected from its size, as the incision 

 was 14 inches in length, and a large portion of the integu- 

 ments were necessarily removed. 



Mrs. F., £Et.. 31, has had several children, and always en- 

 joyed good healUi previous to the present disease. About 

 the end of May she observed a tumour on the lower part ot 

 the neck, but, as it was not attended with much pain, it did 

 not excite much attention : from the beginning it appeared 

 to be very hard and immovablcr, and, as it increased in size^ 

 it impeded respiration and deglutition. 



She was admitted into the dispensary on the 21st of Sep- 

 tember, when the tumonr was become very painful both in 

 deglutition and respiration, and, from its rapid enlargement, 

 bad much alarnied the patient. It was found to be an ex- 

 ostosis of the clavicle, near its connection with the sternum. 

 It reached to the upper part of the larynx, and its base v/here 

 it grew from the clavicle was more than three inches in 

 length, and it must have been more than nine inches in cir- 

 cumference. In this case little was to be expected from any 

 mode of treatment short of an operation; which must have 

 been attended with great danger, as the tumour grew from 

 the inner as well as fron) the upper surface of the clavicle, 

 and was nearly in contact with the carotid artery. 



Cicuta fomentations were ordered with a view to alleviate 

 the pain; in which they happily succeeded, and appeared to 

 aiTest the growth of the tumour. She took the infusion of 

 quassia, and the fomentations were continued till the I7lh 

 of October, when it was evident that the tumour had not 

 increased, and the pain was much lessened during the above 

 period. The emp. hydrarg. cum ammoniac, was applied, 

 •with a view fo increase tiic action of the absorbents ; some 

 magnesia vitriolata was taken occasionally, and the plaster 

 renewed once in about every ten or twelve days : the tumour 

 gradually decreased in size, was entirely discussed by the 

 end of Dcceml)er, and she was discharged cured on the 6th 

 of January l&OG. 



Greville-streo!, H.itffin-garden. 

 April n, li^-jf}. 



XLI. On 



