Cancerous Tumour of Tongue: Excision

? some 4 months ago. A small sore resulted, which, instead of healing, has gone on steadily increasing in size. There is a good deal of shooting pain, difficulty in speaking and swallowing, and much distress generally. On admission into the Medical College Hospital a few days ago a large epithelioma with cracked fungating base and indurated everted edges was seen occupying the right side of tongue for its anterior half. The left side was also invaded to some extent. Five of the cervical lymphatic glands were found diseased, viz., one in the median line between the symphysis of the inferior maxilla and the hyoid bone, and two in each of the submaxillary triangles close beneath the ramus of the jaw. The operation was begun by removing the gland in the middle and passing a probe, armed with a stout thread, for dragging up the wire of the ecraseur, through the incision thus made, up between the genio-hyoid muscles into the mouth close to the frenum. The probe was withdrawn and the thread left hanging out of the mouth. A Mason's gag was then applied and the mucous membrane of the floor of the mouth freely and completely divided from the line of the frenum in front back to the posterior molar on each side. The finger