of science and of scientific truth I feel it my duty to record them. The first intimation was in these words under the above date: “A pensioned fireman had a cancer of the tongue and jaw removed at King’s College Hospital. It recurred as a mass the size of my two fists. The case was desperate, and I treated him at once with my strongest stuff. Five days ago a soft place appeared, which I thought was an abscess, but I could get out no pus. The softness* is increasing, and yesterday I put in a needle and drew out some fluid, which I am sending you in a bottle. You shall see what you shall see. To my eyes it is already dead broken-down cancer tissue, and that in less than a fortnight.” The fluid could not be filtered down, and resort was made to a centrifuge. This furnished a small amount of solid matter, and sufficient to make up about ten microscopical slides. The examination of these enabled the certain diagnosis of epithelioma or skin cancer to be made. In this first bottle there were some remains of epithelial cells, as well as the characteristic “ pearls “ of epithelioma. In another bottle, obtained two days later, the “ pearls~’ were the sole
* The mention of this softness is very interesting in connection with the happenings in the York case, described in a subsequent chapter. The photographic figures (Figs. 6 and 7) were taken on July 15. In the charts one may read: “July 15, photographs taken, slough removed, a ragged hole left, but no bleeding; granulations hard and firm.” Prior to this time the charts contain the following: “June 14, the growth is beginning to separate in the cheek, a little depression is visible, and on palpation only the thickness of the skin intervenes between the finger and the mouth. July 6, face very swollen, red margin of demarcation round tumour. July 6, a small vesicle has formed on the cheek. July 10, vesicle grows rapidly. July 11, vesicle has burst, and a profuse sero-purulent discharge pours from the cheek; a pultaceous slough is disclosed. July 13, the slough increases in size.” Probably the phenomena noted in the two cases were identical up to a point. The profuse “sero-purulent discharge “ mentioned by Captain Lambelle, may be identified as liquid cancer.