In view of the rarity of malignant neoplasms of the external female genital organs I wish to report the following case:
—A widow, aged 52, mother of two healthy children, gave the following family history: Her mother died at the age of 32, of yellow fever, her father at the age of 40, of acquired tuberculosis; her two sisters died in infancy of some bowel trouble. She passed the menopause three years ago. There is no history of malignancy among the immediate relatives.
History of Present Illness.
—The patient was first seen in the latter part of January, when she complained of a pruritus vulvæ which had existed about two years. It had been very annoying for the past six months, and had resisted several different methods of treatment. Examination was then refused. The urine showed no sugar nor evidence of any kidney disease, was alkaline and contained an