190 PROGNOSIS. 



indicate an increased and rapid growth of the cancerous 

 tumours. To sum up, cancer of the liver is nmrked by 



1. All grades of enlargement of the organ, someti 

 so large as to fill up the greater portion of the 

 abdominal cavity. 



2. The surface is studded with nodulated protuberances 

 which are easily felt by the hand : and the bounderies 

 of the organ may be marked by palpation and percussion. 



3. The enlargement of the organ is constantly pro- 

 pressive ; and in the soft and vascular variety so rapid, 

 that an increase in size may ily distingu: 

 week by week. 



4. It is attended by tenderness and more or less pain. 



5. Itis 1 by jaundice, ascites, and moreorless 

 oedema of the legs. And it is 



6. Attended from the commencement, which con- 

 tinues through its whole course, by a train of : 

 symptoms, irregularity of the bowels, a gradual 



a gradual loss of energy, and a p lavnous 



look. 



PROGNOSIS. From the nature and 1 

 our prognosis, under the most favourable in umstances, 

 cannot be otherwise than of a 'ure, and 



it is only in the case of hard cancers, wh; 

 slowly, that we are a ive one ray of hope, that 



by a carefully selected diet, a judiciously selected resi- 

 dence, and appropriate medical treatment, life ma 

 prolonged for some years. 



I): The recognition of cancer of the 1. 



may be extremely simple, or almost impossible. Where 

 great enlargement of the organ existi, and where this 

 enlargement may be felt to depend on the presence of 



