The friction was so well marked that it could be felt by the
hand. Dr James who kindly saw the patient thought the
friction was due to upward pressure of the tumour, and advised
an incision to relieve the abdominal tension. This was done,
and such improvement in the pulse and breathing followed that
the operator was able to remove the tumour. About twelve
hours later the pericarditic friction could only be faintly heard,
next day it had disappeared, and a few days subsequently the
legs and abdomen had returned to their natural size. The
tumour weighed 19 lbs., was solid throughout with the excep-
tion of a small cavity in its centre formed by broken-down
tissue. Microscopic sections showed the tumour to be a soft
cancer.
III. Dr Barbour Simpson showed (a) siren fcetxjs with
HYDEOCEPHALUS AND SPINA BIFIDA; labour presented nothing
worthy of note : two vessels present only in cord. (6) Anence-
PHALIO FCETUS, delivered at full time: interesting on account
of maternal impressions received before conception had taken
place. A married sister beforehand had aborted at the fifth
month, foetus having a mere vestige of head present, and this



MALIGNANT UTERINE COMPLICATIONS OF FIBBO-MYOMATA. 167

had been seen by patient some three months before her own
marriage.
