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THE following Cases have been selected from my Case-Book for the purpose of illustrating the mode of treating the different forms of the disease in their various stages. The numbers have reference to the place they occupy in the Case-Book, and are retained for convenience of reference.


July 9th, 1855.-Miss E.W, aged thirty-four years.— In October, 1854, she received a contusion on the right breast by running against a door-latch. The blow was severe, and her breast was painful in consequence. Soon after this she discovered a "small lump, which gradually increased to the size of a walnut by the 9th of January, 1855,” when she sought advice at the Cancer Hospital, under the care of Messrs. Marsden and Cooke. They pronounced it to be cancer, and advised an operation, which she declined. She has been a constant attendant as an out-patient at the


hospital ever since. The tumour has steadily increased, and at the present time is about the size of an ordinary orange. Miss W's mother and father's sister both died from cancer. This day I commenced treatment by destroying the skin with nitric acid, and then applying over the parts a plaster spread with the puccoon.

Tuesday, 18th. Dressed Miss W's breast; it looked well.

July 11th to 23rd.-Dressed the breast daily by inserting the puccoon paste, spread upon cotton, into the parallel incisions which I made daily into the parts destroyed. On the 23rd all disease was destroyed.

August 3rd. The tumour

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came out this day. The surface of the sore looks very healthy; no appearance of


August 21st.-Miss W

called to-day. Being absent for two weeks in France, I find that the disease has reappeared in another part. Applied the puccoon to the part.

August 29th. The disease to which I made application on the 21st came away to-day; however, another fungus has shown itself. I made application to it.

September 9th.-Fungus came away; parts looking well. September 25th. The parts nearly healed.

October 7th. The disease has again reappeared on the upper portion of the sternum, to which I again applied the puccoon. (I may here remark that each reappearance of the disease was never in the same spot, but always more and more to the sternum, as it followed the course of the diseased absorbents).

December 1st.-The sore has nearly healed.

December 24th.-Miss W-, in coming to see me upon the 18th instant, caught a severe cold, which has terminated in rheumatism, and is unable to come to my house.

February 1st, 1856.-The ulcer has all healed very nicely, but the rheumatism still continues so bad that she is unable to leave her bed.

April 16th.-Dr. Pettigrew and I called on Miss W to-day, and found her very ill from the rheumatism. I have some grave fears as to her recovery, as there appears to be some pulmonary difficulty connected with the case. The breast is quite well, and the cicatrix scarcely observable.

April 29th.-Miss W- died this morning at seven o'clock. No post mortem was made, so I cannot say what was the immediate cause of death; but upon examining the breast no remains of cancerous disease could be discovered.


November 1st, 1855.-Mrs. M-, aged sixty years.Three years ago she first noticed a small lump in her breast, but only applied domestic remedies for some time. These having no effect, she consulted a surgeon, who pronounced it to be cancer. The tumour continued to increase until the middle of April, 1855, when it ulcerated, exuding a thin ichorous discharge. On the 24th April, 1855, she first visited the Cancer Hospital and consulted Messrs. Marsden and Cooke, and placed herself under their

care, but it still continued to increase rapidly. When I saw her, upon the 1st November, 1855, the tumour was the size of a large goose-egg, with an ulcerated surface the size of a penny-piece, discharging a thin, bloody, and very offensive matter. There was also slight enlargement of the glands in the axilla. I made my first application the same day, and continued them until the 12th December, when the tumour was destroyed.

December 23rd.-The tumour came out to-day. It is six inches long, four and a quarter inches broad, and three and a half inches thick. The wound looks very healthy.

December 24th.-Mrs. M- is very well to-day; eats well, and sleeps soundly.

December 28th.-I have not seen her since the 24th. The wound is doing very well, and healing up fast.

December 31st.-Mrs. M— came from Richmond this morning, where she resides. The wound looks well, and is healing rapidly.

January 15th 1856.-Mrs. M - very well, the wound

almost healed.

January 28th.-The wound the size of a shilling, and very healthy.

February 12th.-The wound completely healed, and she is as well as ever she was.

October 3rd.-Saw Mrs. M-to-day, quite well.

April 7th, 1857.-Saw Mrs. M-to-day; breast quite well, and she in excellent spirits. She says she never felt better, and all her friends say that she looks ten years younger than she did.

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