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 last

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... e of life, though one knows that neither surgery nor the surgeon will gain anything but discredit from an exploratory operation. The sixth case was one of hydatids of the omentum and pelvic peritoneum, removed during the seventh month of pregnancy, the patient making a good recovery; but, as I am publishing it in full as a separate case, I shall not say more about it here.