Syphilitic Gamma of Bursa. 549 



personal tubercular history, although one uncle had died of consumption. 

 Both swellings were excised, and the wounds healed satisfactorily. 



When fresh, the thickening was gelatinous and soniewliat 

 translucent in character. The cavity in each case contained 

 <ilear fluid, and to the lining membrane gelatinous and some- 

 what pendulous portions were attached. The spirit has hardened 

 the walls and rendered them opaque. G. C. 3439. 



Presented by Cnx-RUiS W. Cathcaut, F. I't.C.S.E., 1893. 



9. 18. Tubepculap Enlarg-ement of Bursa PatellsB.— 



Papier mache cast of the front of the left knee of the patient 

 from whom the previous preparation was obtained, showing the 

 enlargement of the bursa. G. C. 3440. 



Prcse7ited by CaxKL-ES W. Cathcart, F.R.C.S.E., 1893. 



d. Where the inflammation has been due to syphilis, 



9. 19. Syphilitic Enlargrement of the Bursa Patellae— Cast 



in gelatine and glycerine of the front of a left knee — illustrating 

 the above. 



The patient, a middle-aged woman, suffered from tertiary 

 syphilis, and had gummata near the surface in various parts of 

 her body. This enlargement subsided under iodide of potassium 

 internally and local blisters. The cast shows a decided enlarge- 

 ment in the region of the bursa patellae. G. C. 2873. 

 Prese?ited by Charles W. Cathcart, F.R.C.S.E., 1888. 



IV. New Growths. 



9. 20. Sarcoma of the Bursa Patellae.— Fungating tumour of the 



bursa patella excised along with the adjacent skin — in spirit. 



Tlie patient was a woman of about 75 years. The enlargement had 

 been present without causing any inconvenience for ten or twelve years ; 

 but about a month before admission to the Royal Infirmary, Edinburgh, 

 it had begun to grow larger and cause her pain. It soon burst, and dis- 



