C 3^0 
Piom the fii'fl: Appearance of this Tumour to the 
Excifioii of it, there were mpre than Thirty Years: 
She had exceflive Pains and Uneafmefs in it, and at 
lafl: its Bulk and W eight had in fome meafure inter- 
cepted the Nourilhment to it, fo that an Ulcer had 
affeded the inferior Part of it, very putrid and finuous, 
of about Six Months ftanding. 
This Excrefcencc was of the natural Colour of the 
Skin, and was for the moft part of a pinquedinous 
Subftance j the Centre and Bafis being an Atheromay 
but more feirrhous than common. 
This Excrefcencc, having grown fo big, was not 
contained in a manifeft CyJiiSy but had fome large 
Circumvolutions of Fat adherent to its common Te- 
guments, as was obferved after the Excifion of it, 
when it was foon conveyed away j fo that, through 
Inadvertency, we did not weigh it. 
My Defign in this Cafe was to have made a total 
Extirpation of this Excrefcencc ; but by reafon of its 
lying with large Veffels, and amongft the Tendons 
of the Mufcles, I was content (as Dr. ‘Turner advifes 
in fuch Cafes) “ To level it, the belt we can, by 
Efcharotics, ftill repeated as the Sloughs throw off j 
till we have confumed as much of the Gland or 
“ Subhance, and gone as deep, as may be fafely ad- 
ventured 5 when probably fome powerful Defic- 
“ cative may induce a Cicatrix, which may fo tie 
the Remains, as to create no farther Trouble.” 
This Tumour had been fhewn to moft of the Phy- 
ficians and Surgeons hereabouts, fome of no lefs 
Skill than Note, who feemed to approve of the Ope- 
ration : Therefore, 7^^ I73 5- i made a Li- 
gature about the Bafts of it, with a Slip-knot, by 
which 
