'1S6 PHILOSOPHICAL TRANSACTIONS. [aNNO 1700. 



scarcely visible. The mastoideus and coraco-hyoideus were extremely thin, 

 and in their ascent they adhered very firm to the subjacent tumour. The sterno- 

 hyoideus and the sterno-thyreoideus, that run up the fore part of this swelling, 

 were distended so that it was difficult to separate them from it, especially 

 the latter. The right carotid artery, in its ascent to the head, ran along its 

 outer edge, which increasing, did much obstruct the current of the blood that 

 way. The internal jugular, the par vagum, and the intercostal pair, went also 

 over some part of this swelling, in their descent to the thorax. Two of the 

 lymphatic glands of the jugular vein were swelled tcJ the size of little eggs, 

 being placed at some distance from each other, with a hollow between, where 

 some fat was found ; these two lobes made the tumour also very uneven on its 

 right side. These muscles, the jugular, with the two glands adhering to it, 

 and the rest of the fore-named vessels, being removed on both sides, I could 

 easily observe the size, the figure, and the circumscription or limits of this 

 preternatural tumour, with all its adhesions to the adjacent parts. In magni- 

 tude it seemed to exceed that of two fists joined together. Its figure was almost 

 triangular, with a broad basis under the chin, sloping a little on each side, as it 

 descended to the upper part of the sternum, where its point was pretty narrow; 

 its surface was made uneven by three risings, of which the largest was turned 

 to the left side, the other two being placed on the right, as above remarked. 

 It adhered by membranous filaments to the maxillary glands, to the digastric 

 muscle, and to the stylo-hyoideus ; under which, on the right side, a small portion 

 of it, in the form of a nipple, intruded itself as it were under the tongue; in 

 the upper and fore part it also adhered to the os hyoides. Latterly it was con- 

 nected to the levator scapulae, and lower down to that part of the cucullaris 

 that terminates in the clavicle ; backwards to all the fore part of the aspera 

 arteria, between its third or fourth cartilaginous ring and the os pectoris : as also 

 to that muscle of the head called rectus internus major, and to some part of 

 the scaleni; its lower part was engaged under the jugulum, or lunated part of 

 the breast bone, to which it adhered. 



It was easily freed from its connections to all these different parts, but not so 

 from the glandulae thyreoideae, to which it adhered after a far different manner ; 

 for where the thyroidal glands are joined to each other, a little below the carti- 

 lage cricoides, on the fore part of the rough artery, there was no separating it, 

 without cutting its substance; whence it plainly appears, that the union of these 

 glands was the root or beginning of this excessive tumour: and yet, which is 

 very remarkable, the glands themselves kept their usual figure, and were no 

 larger than ordinary. 



This tumour was hard and very firm, being exactly of the consistence of a 



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