406 
R. H. HARRISON. 
EPITHELIOMA OF THE CLITORIS. 
By the Same. 
This patient, a chestnut mare, 16 years of age, and 15 hands 
high, was brought to the infirmary with the following history : 
She had been owned for nine years, and the first symptoms of any 
disturbance was noticed four years after she was purchased. The 
mare developed into a very bad kicker, and seemed to be continu¬ 
ally in rut. 
The least stimulus being applied, either the hand laid on the 
hip, or when anything touched her hind quarters, or the near ap¬ 
proach of another horse would cause the most intense venereal 
excitement. 
This state of affairs lasted a year, when a growth was ob¬ 
served protruding betw'een the lips of the vulva, which rapidly 
increased and attained the size of a hen’s egg, and was removed 
by an ecraseur. 
This operation is reported to have afforded relief, the animal 
becoming more gentle, an sestrum occurring at regular intervals. 
In 1881 the tumor again commenced to grow and the former 
symptoms were present, although they were not so intense as be¬ 
fore. A similar operation was resorted to with apparent relief. 
When examined by me a large tumor was observed, the size 
of a cocoanut, protruding from the vulva. Its external surface 
was excoriated, and bleeding at the slightest touch, and a very 
offensive discharge was present. 
Separating the lips of the vulva, the pedicle of the tumor was 
about an inch and a half in circumference at its base, and occu¬ 
pied the place of the clitoris—titilation of the base caused erec¬ 
tion of the entire growth, it becoming filled with blood and very 
sensitive to the touch. At such times micturitiou would be almost 
constant. The operation consisted in the application of the elastic 
ligature, applied as far down on the base as possible. 
This was considered the best treatment, as the tumor could 
be removed without loss of blood, and the secondary slough which 
often follows this manipulation, was thought important. 
