this case pain was
absent, the sense of smell was lost, and the sight of the right eye
impaired. Moore attempted to remove the tumor, but in consequence of
some interference of respiration the patient died on the table.

Tiffany reports several interesting instances of sarcoma, one in a
white female of nineteen following a contusion of tibia. The growth had
all the clinical history of an osteosarcoma of the tibia, and was
amputated and photographed after removal. In another case, in a white
male of thirty, the same author successfully performed a hip-amputation
for a large sarcoma of the left femur. The removed member was sent
entire to the Army Medical Museum at Washington.

The fatality and incurability of malignant growths has done much to
stimulate daring and marvelous operations in surgery. The utter
hopelessness of the case justifies almost any means of relief, and many
of the visceral operations, resections of functional organs, and
extraordinary amputations that were never dreamed of in the early
history of medicine are to-day not only feasible and justifiable, but
even peremptorily demanded.

Varicose veins sometimes become so enlarged and distorted as to
simulate the appearance of one varicose tumor. Adams describes a
curious case of congenital dilatation of the arteries and veins in the
right lower limb, accompanied by an anastomosis with the interior of
the os calcis. The affected thigh exceeded the other in size by
one-third, all the veins being immensely swelled and distorted. The
arteries were also distorted and could be felt pulsating all over the
limb. The patient died at thirty from rupture of the aneurysm.

Abbe shows a peculiar aneurysmal varix of the finger in a boy of nine.
When a babe the patient had, on the dorsum of the little finger, a
small nevus, which was quiescent for many years. He received a deep cut
at the base of the thumb, and immediately after this accident the nevus
began to enlarge rapidly. But for the local aneurysmal thrill at the
point of the scar the condition would have been diagnosed as angioma,
but as a bruit could be heard over the entire mass it was called an
aneurysmal varix, because it was believed there was a connection
between a rather large artery and a vein close to the mass. There is a
curious case reported of cirsoid tumor of the ear of a boy of thirteen.
Figure 259 shows the appearance before and after operation.

Jessop records a remarkable case of multiple