. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. cer on one tendo Achillis, which was very troublesome, but isnow healing. He has gained in weight, has been able to attend tohis work, and looks very well. The tumor mass which was so per-ceptible in the left hypochondriac region has almost edge of the left lobe of the liver can be distinctly felt. May. 3d.—He reports that he has kept well all through thewinter. He has had no attacks of abdominal pain, no convul-sions. He has gained in weight; looks well. The


. Lectures on the diagnosis of abdominal tumors, delivered to the post-graduate class of Johns Hopkins university, 1893. cer on one tendo Achillis, which was very troublesome, but isnow healing. He has gained in weight, has been able to attend tohis work, and looks very well. The tumor mass which was so per-ceptible in the left hypochondriac region has almost edge of the left lobe of the liver can be distinctly felt. May. 3d.—He reports that he has kept well all through thewinter. He has had no attacks of abdominal pain, no convul-sions. He has gained in weight; looks well. The condition ofthe liver is practically negative. Nothing definite to be felt inthe left lobe, only slight irregularity as it descends in deep in-spiration. IV. Cancer of the Liver.—With the exception of thefibromyoma of the uterus, cancer of the liver may consti- TUMORS OF THE LIVER. 89 tute the largest tumor met with in the abdomen. In ex-treme cases, as in the photographs I here show you, theentire cavity is occupied by the enormously enlarged diagnosis is not difficult, particularly in the secondary.


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