TWO RECENT CASES 213
of “encephaloid” cancer of the breast, except that here the remains of the tumour, being more deeply seated, did not shell out, but presumably became encapsulated (see Appendix L). The only real differences between these two successful cases and the recurrent “round-celled” sarcoma in York were that in them there was no microscopical diagnosis ; but in fact something of infinitely greater scientific moment was present—a stereo-chemical diagnosis. The art—not science—of modern medicine would be no more rational than the “medicine” of Macbeth or Romeo and Juliet, unless it were based in such sciences as chemistry, embryology, etc.
B.—THE UPPINGHAM CASE OF CANCER OF THE STOMACH,
WITH EXTENSIONS TO THE LIVER.
This case is at present unpublished, and, therefore, I do not propose to do more than give the briefest account of it, and only. in order to use the figures concerning the injections employed. The physician informed me some time ago that he intended to publish it in due course. At the same time he did not allow me to examine the charts again, though I had often seen these. They were asked for in order to compute from them the number of units of trypsin and amylopsin injected, but the figures of these were obtained actually from other and reliable sources. This case of cancer in a man of middle age was diagnosed surgically as inoperable, presumably because of the involvement of the liver after an exploratory laparotomy by one of the chief surgeons at St. Thomas’s Hospital, London about the end of July, 1908. The man was sent home to die. Apparently in November, 1908, the treatment was commenced. The charts taken regularly were sent to me from time to time, and I may mention that for a long time they showed a temperature reaction after the