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On the 28th of April 1757. he was admitted into 
Guy’s Hofpital under my care. 
Upon examination, the thigh appeared enlarged 
to a very great lize. The tumor was uniform, and 
extended from the infide of the knee to within a 
very fmall fpace of the groin. The integuments 
were in every part of their natural colour. 
Upon prefling the tumor on the infide, it appeared 
foft, and there was a very evident fluctuation to be 
felt on its internal and lateral part ; but there was 
not the lead appearance of pulfation. 
The tumor, on its luperior and pofterior parts, 
was of a dony hardnefs. 
The leg, which, according to the patient’s account, 
had fome time ago been much fwelied, did not now 
appear to be at all fo. 
He was continually in great pain, and had been for 
fome time incapable of getting any fleep. His appe- 
tite was bad. He was a good deal emaciated. He 
had a conftant flow fever, which arofe about five 
weeks before his admiflion into the hofpital. He 
appeared pale and fallow in his complexion. 
From the time of his being placed under my care 
to the end of ten days, there was no alteration in 
the fwelling, or in the fymptoms attending it. 
In expedition therefore of affording him that re- 
lief, which could by no other means be procured, I 
judged it advifeable to make an opening into the tu- 
mor ; which I did by incifion into the moft promi- 
nent and fluctuating part ; upon which there imme- 
diately gufhed out a large ftream of thin florid blood, 
and at this inflant difeovered to me the true date of 
that difeafe ; which, till now, could not be afeer- 
tained 
