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some cysts to relieve the tension, which was a source of great suffering. The patient made a rapid recovery from the operation, but died in six months. Looking at these four cases of malignant disease, one cannot but feel that the deaths, following shortly after the operation and with but little suffering, were better for the patients than the lingering death in the last case, though this one is more satisfactory to the surgeon. In such cases, it is very hard to refuse the patient the lastdoi:10.1136/bmj.2.929.596 fatcat:o26fscv2n5fs7c73z7ooykrqla