Patient, Mrs. D., aged 24, American, housewife, had four sisters and two brothers, all in good health. The family history was negative. With the exception of the usual diseases of childhood the patient had always been in good health. She had three children, the youngest was two and one-half months old.
Present Trouble.
—About seven weeks before the examination the patient first noticed an enlaregment in the left hypohondriac region. About three weeks later she began to have some pain in her side and back, which did not seem to be getting worse. The growth, according to the patient, had not increased in size and the only pain the patient had now was in the back.
General Examination.
—A tumor mass was readily palpated in the left hypochondriac region; this extended several fingerbreadths below the free border of the ribs and to the median line in front. There was very