238 ' PHILOSOPHICAL TRANSACTIONS. [aNNO 1705. 



pap and pectoral muscles forwards, with a fulness under the axilla of the same 

 arm. Then opening the thorax, I found the same tumor comprehending the 

 intercostals, deltoides, subclavian, and subscapulary muscles, and the whole 

 axillary and mammillary glands, which being obstructed, and its vessels replete 

 with a creamy pappy matter, thicker and whiter than the former ; there was 

 produced such an induration of the aforesaid glands and muscles, which com- 

 pose the upper part of the breast, that it may more properly be esteemed a 

 scirrhous tumor. 



The same tumor on the outside of the breast was somewhat larger than one's 

 hand, extending itself from the clavicle, to the lower part of the pap ; and 

 laterally from the basis of the muscle, quite under the arm -pit. Internally it 

 possessed a third part of the cavity of the breast, crouding the left lobe of the 

 lungs to the right side, and in its upper part firmly growing to it ; which it 

 likewise did every way to the intercostal muscles. It was about the size of a 

 penny loaf; and the whole tumor, being considered together, niight reasonably 

 be allowed to weigh between 3 and 4 pounds ; which being cut into, there 

 oozed out of it, like an expressed sponge, a great quantity of thick, white and 

 pappy matter: and what is more particularly remarkable, there was formed a 

 large sink or pelvis, in the middle of the axillary gland, which contained a 

 thinner and discoloured matter, and had a free communication to the vessels of 

 the lungs in the upper part of it, where it was united ; and from hence it was 

 that he generally found ease, when he had somewhat emptied it by large 

 expectorations ; and that he could so exactly perceive, when any thin rheums 

 or matter flowed to the part ; and it was here only that the lungs were black, 

 and replete with stagnated blood, and some globules of the aforesaid matter in 

 its vesiculae. The rest of the lungs was pretty clear from any ulcers or matter, 

 but they were of a sublivid colour, and strictly adhered on both sides to the 

 pleura, but particularly on the left side, all about the scirrhous tumor. The 

 vesica fellis, or gall-bladder, was full of stones, of the size of a runcival pea, 

 and consisted most of odd angles, and were formed of a thick viscous sediment 

 of gall (which we found in it) from an obstruction of its vessels, or jaundice, 

 which he had some years before : they were 22 in number, some triangular, 

 quadrangular, quincuncial, &c. 



There was nothing else remarkable, besides a marasmus of the external parts, 

 the wasting of the caul (omentum), and an emptiness of all the viscera and blood 

 vessels in general. 



