9

of clear polygonal cells, with round or oval nuclei in some parts,and in other portions small round or oval nuclei, best seen afterthe addition of acetic acid. Good specimens of the laminatedcapsules, met with in epithelioma, were not obtained, but somerounded masses resembling these were present. No myeloidcells were seen, even in the portions of the morbid growthwhich extended into the interior of the horizontal ramus of thejaw. The fibrous bands consisted of simple fibrous tissue, aswell as of nucleated fibres.The tumour was intimately connected with the bone, and

not only extended outwards, but had eaten its way into thesubstance of the jaw, entirely destroying the bone from theangle to within an inch of the symphysis, where it filled thecavity of the bone. In the operation, some portions of the bonewere found nearly detached, and broke away; and this con-dition had probably given rise to much of the common inflam-matory mischief and the abscess, which tended to obscure thediagnosis of the precise nature of the morbid growth. Thebone was quite healthy where sawn through near to the sym-physis.

-

UNIVERSITY COLLEGE HOSPITAL.

FIBROUS TUMOUR OF THE SUPERIOR MAXILLA IN A GIRL;SUCCESSFUL REMOVAL.

(Under the care of Mr. QUAIN.)THE following case is abridged from the notes of Mr. Winter-

bottom, late house-surgeon to the hospital, and formed thesubject of a clinical lecture by Mr. Quain.

E. M—-, aged fifteen, was admitted April 28th, 1859. Inthe summer previous she was struck on the left side of the noseby a shutter; the face swelled, but quickly got well, andnothing was noticed till the Christmas following, when sheperceived that the same side of her face was enlarged. Amonth later she observed a swelling on the gum, and went toa surgeon, who extracted the left lateral incisor, and afterwardslanced the gums, letting out some matter.On her admission, there is found beneath the soft parts on

the left side, along the side of the nose and below the eye, aswelling of the size of a flattened walnut. It extends inwards,encroaching on the ala of the nose, and reaches to within afinger’s breadth of the margin of the lower eyelid; it coversthe body and anterior surface of the superior maxillary bone,and is continued down to the gum. When the lip is raisedseveral decayed teeth are seen-two middle incisors and onelateral; and on the left side, where several teeth have beenremoved, a considerable swelling is found projecting on theanterior surface of the alveolar process. This is elastic to thetcuch when felt beneath the integuments, and yields distinctlyall over the surface. There is also a degree of elasticity at thelower margin of the gums, in the space unoccupied by teeth.There is no change in the roof of the mouth. A very slightdegree of fulness is perceived in the left nostril. The glandsin the right axilla have been enlarged for some time; thoseunder the angle of the jaw are also enlarged. There is no pain,and the patient is very anxious to have the growth removed.May 19th, 1859.-The patient being narcotized with chloro-

fcrm, Mr. Quain made an incision through the integuments,extending from half an inch below the inner angle of the lefteye to the angle of the mouth, and dissected back the flaps oneither side so as completely to expose the tumour. The bonewas then divided in the middle line, and again obliquely be-hind the growth. The part included by these was removed bymeans of a cross cut above. There was a good deal of hoemor-rhage, but it was controlled by the free application of the solu-tion of the perchloride of iron. Six hours afterwards, the flapsof skin were brought together with hare-lip pins and sutures.The nature of the tumour was believed by Dr. Jenner to befibro-plastic.

After the operation the patient progressed most favourably.The external wound was quite healed by the 1st of July. Thecavity was considerably closed by the 23rd of the same month,without the appearance of any secondary growth. There wasno deformity, and the patient left the hospital. On presentingherself at the hospital on the 29th of November, she was foundto have grown, her face was fuller, and the opening into theantrum was perfectly sound.

PROFESSOR BscQUEBEL.—We regret to learn that thisaccomplished chemist, to whom medical and electric scienceowe much, has fractured his thigh by a fall during the latefrosts.

Medical Societies.PATHOLOGICAL SOCIETY OF LONDON.

MR. FERGUSSON, PRESIDENT.

TUESDAY, JAN. 1ST, 1861.

REPORT OF THE COUNCIL.

IN presenting to the members of the Pathological Society thefifteenth annual report of its progress, the Council has the

pleasing duty of congratulating them on the abundant evidencewhich exists of the continued and increasing prosperity of theSociety.The number of its supporters steadily increases. Twenty-

eight new members have joined during the past sesiion, ofwhom six only are non resident, making altogether 366-atotal exceeding that of any previous period. The condi-ion ofthe Society’s finances is equally flourishing. The total r ceiptsfor the past year have amounted to X380 2s. 2d., of whichX22 18. 7d. has been realized by the sale of "Transao ions,"and X2 its. 7d. by dividend on funded property, leaving as theamount of subscriptions the sum of X355 19s. ; of this, X27 6s.has been received as life subscriptions, and as fees from non-resident members,-which sum at least will, in accordancewith the previous custom, be added to the Society’s fundedproperty. The total expenditure for the year amounts toX319 12s. 4d., leaving a balance in the treasurer’s hands ofX126 13s. 2d., in part for investment, and in part for thegeneral purposes of the Society, to be carried forward to theaccount of the current year.The objects which the founders of the Pathological Society

had in view, as well as other objects which have appeared tobe worthy of attainment in the growing experience andwidened career of the Society, have perhaps never been moresatisfactorily pursued than during the past session. Thusthere has been a full supply of specimens of an interestingcharacter for exhibition at the Society. Fresh exhibitors,amongst more recently joined members, have appeared at themeetings; and in this manner a different order of specimens,and frequently differing views, have from time to time beenbrought under discussion, with advantage to the members atlarge.

Again, owing to the abundance of interesting pathologicaltopics presented for consideration, long dissertations and reportshave been as much as possible avoided. A laborious scrutiny,when necessary, has been applied by practised pathologists tothose specimens which have required further investigation;but the results of such labour have been prepared in as concisea form as possible-a mode of proceeding which has addedgreatly to the value of the "Transactions," while it has econo-mized the time allotted to the exhibition of specimens anddiscussion at the meetings.The Council cannot close this report without expressing its

cordial approbation of the manner in which Dr. Ogle (who nowretires, after a service of four years, from the post of HonoraryMedical Secretary) has fulfilled the various duties which havedevolved upon him in exercising the functions of that important

I office.’ Finally, to all the gentlemen who have devoted themselvesto the interest of science and to the welfare of this Society,the Council, in common with each individual member, owes aheavy debt of obligation; an,l, at the same time, it confidentlytrusts that the coming session may be as successful as the past,through a continued exercisp of the same zeal and talent in theimportant and productive field of pathological inquiry.The f’ollowing is a list of the office-bearers for 1861:—

President: Dr. Copland. - Vice- Presidents: Dr. G. H. Barlow,Sir John Liddell, C.B., Dr. T. Watson, Dr. C. J. B. Williams;Messrs. John Birkett, James Dixon, William Fergusson, Alex.Shaw.--l’reasure1’: Dr. Richard Quain.—Council: Drs. A. W.Barclay, Thomas Barker, W. D. Chowne, W. 0. Markhf m,Charles Murchison, J. W. Ogle, T. B. Peacock, H. HydeSalter, E. C. Seaton, R. H. Semple; Messrs. Thomas Ballard,W. White Cooper, J. G. Forbes, Jabez Hogg, J. C. Langmore,Henry Lee, John Marshall, J. J. Purnell, John Pyle, S. J. A.Salter. —Hon. Secretaries: Dr. J. S. Bristowe, Mr. HenryThompson.

____

TUESDAY, DEC. 18TH, 1860.The minutes of the last meeting were read and confirmed,

and new members were elected.

10

A report by Dr. Wilks and Mr. Wood, on a Body removedfrom a. Hernial Sac, and exhibited (for Mr. Jackson, of Wolver-hampton) by Mr. Henry Thompson, was read. It resemblesvery closely bodies previously exhibited at the Society, espe-cially one by Mr. Shaw, described in the sixth volume of the"Transactions." Some trace of a pedicle was seen. Therewas a nuclear part, and the external parts were laminated.There can be little donbt that the body was an appendix epi-ploica, which became detached, and subsequently covered witha coating of fibrin.A report on Mr. Holmes’s case of Amputation of an Excised

Knee-joint was read by Mr. HULKE. The hones were notunited posteriorly by any direct connexion ; anteriorly, a partlyosseous material was deposited. On examination, this wasfound to be in great part cartilaginous. A very small portionhad been excised from the femur.

Mr. T. HOLMES, having further examined the specimen,called attention to the appearances of inflammation at the endsof the bones present, to the great thickening of the soft tissuesaround the joint, and to the ligamentous tissue which stretchesfrom the femur to the tibia behind (ligament of Winslow), de-monstrating the very small amount of bone that was removedfrom the tibia. It appeared that some diseased bone mightpossibly have still remained, and prevented union occurringbetween the two ends. The amputation was done on accountof the considerable suppuration which was threatening thepatient’s life.

Mr. GANT recollected the appearance of the bone when he

performed the excision, and believed that, small as the portionwas which he removed from the tibia, the bone was healthybeneath. He considered that there were peculiar reasons forthe patient’s debility, which had prejudiced the success of theoperation.

URINARY CALCULI.

The PRESIDENT exhibited four calculi, which he removedfrom the urethra and bladder of an elderly gentleman, a formerpatient of Sir Everard Home. He had suffered greatly, butespecially during the last two years; several fistulous openingsexisted in the perinasum, through which all the urine passed,a stricture existing iu the urethra. Mr. Fergusson removed astone, imbedded in firm, hardened tissue, from the perinæum,about the size of a chestnut; then one rat4er larger; then asmaller one; and finally a small one, almost spherical, from thecavity of the bladder.

EPITHELIAL CANCER FROM THE LUNG AFTER DISEASE OFTHE TONGUE.

Mr. HUTCHINSON exhibited portions of epithelial cancerscattered through the upper parts of both lungs, ten or twelvein one lung, the microscopical characters- being identical withthose of the original disease in the tongue. The bronchialglands, also, were affected. He believed that very few-caseswere on record of epithelial cancer attacking internal viscera.

Dr. E. SMITH thought the case one of extreme interest, ifthe epithelial cancer was deposited in the substance of theorgan, and not on the free surface of a membrane.

Dr. WILKs and Mr. HUTCHINSON referred to cases in whichsuch deposits were found in the substance of organs.

Dr. GIBB also related a case.

ABNORMAL POSITION OF THE POPLITEAL ARTERY.

Mr. CROFT exhibited the popliteal artery of a left limb

descending behind the tendon of the adductor magnus, andcoursing towards the inner condyle. The larger vein was inthe usna.1 position. The artery of the right limb also deviatedsomewhat. The condition was extremely rare.The PRESIDENT related a case in which a bullet had lodged

behind the knee-joint in the popliteal space, close to the popli-teal artery, passing to it between the tendon of the adductorlongus and the external condyle of the femur.

SEQUEL TO A CASE OF DISEASE OF THE TESTICLEFORMERLY EXHIBITED.

Mr. HOLMES furnished the following account of the case:-A testicle was removed from a boy for rapidly-growing disease;the other testicle had not descended. It appeared on examina-tion to be a fibro-nucleated tumour; and in on& part of it somecurious fragments of muscular tissue were found by the gentle-men who were deputed to report on the specimen, connected,possibly, with seminal tubes; and they also believed that thetumour was malignant, although they eould not assert it conti-dentl.. The malignant character was confirmed by subsequenthistory; a tumour being found in the iliac fossa correspondingto the siie from which the testicle was removed. Almost the

whole of the abdomen was occupied by the tumour; a cystcontaining three pints of fluid formed only a portion of thetumour, equal to about one-third of its entire magnitude.

’ Dr. GIBB exhibited a

PIECE OF NECROSED CARTILAGE EXPECTORATED IN A CASEOF SYPHILITIC LARYNGITIS.

The patient was a female, aged forty, who had been underMr. Hart’s care for iritis, and subsequently syphilitic laryn-gitis, with the usual well-marked symptoms. She was exa-mined with the laryngoscope by Dr. Gibb, who found theglottis much constricted from thickening, the movements ofthe arytenoid cartilages wholly impeded, and the superiorvocal cords irregular and jagged from ulceration. From the

severity of the general symptoms and condition of the throat,it became necessary to perform tracheotomy at once. Thiswas done by Mr. Hart, assisted by Dr. Gibb, the same day,with decided relief. It was after the operation that two piecesof necrosed cartilage were expectorated. The patient survivedten days, death occurring from pneumonia. The aryteno-glottidean ligaments on the left side were found much thick-ened, with some ecchymosis; the glottis was eroded, as wellas the superior vocal cords; the thyroid and cricoid cartilageswere in a state of caries and necrosis, and the arytenoid carti-lages were wholly detached. This case was brought forwardto show the value of the laryngoscope in determining an imme-diate resort to active measures of relief, although the patient’sgeneral condition was bad.

MEMBRANOUS CAST OF THE UTERUS.

Dr. TILT exhibited a fibrinous cast of the interior surface ofthe uterus, exfoliated at a menstrual period by a married ladyaged twenty-five years-a circumstance which .had repeatedlyoccurred.

CLUB-FOOT AND OTHER MALFORMATIONS IN A CHILD.

Mr. ADAMS exhibited deficiency of abdominal walls in themesian line, with protruding viscera, varus of the right leg,and contraction of great toe and leg on the left, occurring in anew-born infant.

Reviews and Notices of Books.The Composition of the Urine in Health and Disease, and

under the Action of Remedies. By EDMUND A. PARKES,M.D. pp. 404. London ChurchilL lb60.

ANOTHER work on the Urine! Truly the urine is a, flowingsubject. We have had treatises these late years by so manychemical and physical and practical writers, and by such variouscommixtures of these—physico-chemicals, chemico-practicals,and chemico-physico-practicals—that the subject would surelywell-nigh have been expended were it not that it is, like thecurrent of Samuel Johnson’s teapot, of the " impossible ex-haustive type." We are not wanting in suggestive faculty,but we confess that six months ago, when an ambitious authorasked us. to suggest to him some original line of inquiry on thisdevitalized fluid, we were enabled, after long study, to offerhim but one- new suggestion, which was, to seize the fluid inits dynamic condition in various cases, and with accurately gra-duated tape to determine its quantity by direct linear measure-ment. Our friend, having availed himself of this suggestion,is working it out with the ardour common to enthusiastic

natures; but as his book is deferred until the taking of theCensus, in order that his calculations may embrace the widestpossible survey, we can offer but a shadowy idea of its contents.Meanwhile let those who would prepare for this ?Kay?tM?K opusget up all the pre-existing knowledge published in the worknow before us by Dr. Parkes.The advantage of Dr. Parkes’ book lies in its aim; and its aim

is, not to advance any extremely original view, like the work ofour friend with the tape, but to bring together from every sourceall reliable information on the subject discussed, and to putthe collated matter in a ready and concise form. In the

Preface, indeeil, we have a correct view of the character- ofthe volume. " The title of the book," says its author, "ex-presses its exact nature: it is a mere enumeration of the altera-