538 . Diseases of Joints. 



There was a large growth in front of the pelvis reaching to one 

 and a lialf inches from the umbilicus. The growth was chiefly on the 

 left side, and had most likely proceeded from another tumour on the left 

 iliac bone. The whole pelvis was a mass of soft tumour. 



The ureter on the left side was greatly dilated. 



The dura mater was extremely adherent to the skull cap. In the 

 posterior part of the superior longitudinal sinus there was a small pale 

 tumour. Also on the left side, near the middle line, there was another 

 tumour under the dura mater. The convolutions were somewhat pale. 

 Vessels at base of brain were normal. The brain substance was extremely 

 antemic, and somewhat redematous. 



From the second to sixth dorsal vertebrse the cord was decidedly 

 thinner (sic). It was quite firm in its whole extent, except at the upper 

 part of the lumbar enlargement. 



The section shows the tumour to be composed of soft 

 material, arranged in lobulated portions of slightly different 

 colour and consistence, which are separated by a very delicate 

 connective tissue. The part most affected is the periosteum. 

 There is apparently neither ossification nor invasion of bone. 



It was not possible to say where the primary tumour had 

 been situated in this case. G. C. 3491. 



Presented hy ions Duncan, F.R.C.S.E., 1893. 



