576 PHILOSOPHICAL TRANSACTIONS. [ANNO 1 74'2. 



vessels enter it, and it had detruded most of the small guts into the pelvis. 

 Nothing was preternatural in the stomach or spleen, excepting that the latter, 

 as well as the left kidney, seemed paler than usual, and this kidney also more 

 flaccid : the gall-bladder was shrunk to the size of a nutmeg, and einpty. The 

 liver had a preternatural lobule, as large as a hazel-nut, adhering to it by a 

 small pedicle. But otherwise all these viscera, as well as the right kidney, 

 bladder, &c. discovered nothing morbid. 



This cancerated excrescence could not be eradicated without laceration, and 

 on its removal, 2 or 3 large trunks of nerves appeared naked, passing over the 

 iliacus internus to the thigh; which had been compressed by this tumour. The 

 weight of this excrescence was 4 lb. 14 oz, and allowing for what remained on 

 laceration, and the efflision on cutting into it, it doubtless exceeded 5 lb. On 

 bisection, it appeared, to the depth of half an inch from its surface, black and 

 gangrened, and below that it was all spongy, with cavities as large as those of 

 a honeycomb; and from it had issued a cancerous sanies, draining to the 

 pelvis. 



On opening the thorax, the right lobe of the lungs was full of scirrhous 

 cancerated tubercles, whence a sanies had flowed between it and the pleura ; 

 the left lobe was much smaller than the right, was firmly attached to the pleura 

 and mediastinum, and inseparable without dilaceration. It had some tubercles 

 also. The heart appeared sound, but a large polypus was taken out of its right 

 ventricle, at the orifice of the arteria pulmonalis. 



Another case occurred to Dr. B. cotemporary with the first of these, and so 

 like to both of them in the antecedent cause and symptoms, that, could he have 

 obtained leave to inspect the corpse, he was persuaded some such immediate 

 cause would have discovered itself. Crude mercury was the only medicine in 

 this case also, which palliated for about 10 days successively. 



The diagnostics of a cancer within the abdomen, deduced from the preceding 

 histories, seem to be as follow : a naturally slender habit of body, accompa- 

 nied with some scrophulous or scirrhous tumour, with a pale complexion, and 

 costive disposition ; if such an one, at an age above 20, has received a violent 

 contusion on the loins, and, neglecting all remedies, is some time afterwards 

 attacked with excessive pains, afflicting now the colon, then the urinary pas- 

 sages, spine of the os innominatum, and pubes, at various times, always in- 

 creased by all internals or externals, by which the heat of the body is increased, 

 especially by terebinthiriate clysters; but mitigated by some singularity of pos- 

 ture, in which the patient constantly abides; if these be attended with a hectic 

 fever, without the usual degree of heat in the skin, of whiteness or dryness of 

 tongue, or complaint of thirst, and also without cough, high-coloured urine. 



