its scope: "During the winter of 1894 and 1895, Messrs. P. Blakiston, Son & Co. published in serial form, abstracts of the writer's lectures, entitled "Lectures on Pathology." At the close of the college session, the fasciculi were bound and the resulting volume placed on the market. Very much to the surprise of the publishers, as well as of the writer, the edition lasted less than nine months. It was exhausted at a time when the teaching of the college year precluded the revision which the matter so much needed. During the past six months the entire book has been revised, the larger part having been entirely re-written. The first edition contained two hundred and fifty pages and fifty-one illustrations; the present volume, in the face of every effort to condense without sacrificing accuracy, has reached six hundred and thirty-eight pages and contains two hundred and sixty-eight illustrations. The most difficult problem has been to keep the volume from assuming undesired dimensions, and, now that the work is completed, the writer wishes to say, parenthetically, that a volume of twice the size could have been produced with probably less labor."

"In conclusion, the writer wishes to submit the volume, not as a treatise or work of reference, but, as its title indicates, as a manual which he hopes may be useful in the laboratory, postmortem room, and in clinical diagnosis by the aid of the microScope."

A brief examination of this work shows that it has been prepared with care and close attention to details, and it will unquestionably fill the niche in medical literature for which it has been designed. It is clear, full and comprehensive, and for the student it will prove of incalculable value.

SKIN DISEASES OF CHILDREN. By GEORGE HENRY FOX, A.M., M.D', Clinical Professor of Diseases of the Skin, College of Physicians and Surgeons, New York; Physician to the New York Skin and Cancer Hospital. Royal 8vo., cloth, pp. 166, with 12 Photogravures and Chromographic Plates, and 60 Illustrations in the text. Price $2.50, net. WM. WOOD & Co., New York, Publishers. 1897.

This work is based on a series of most excellent papers, orig inaally contributed to the American Journal of Obstetrics during 1896, and which have been fully elaborated, and to which an

unusually large and very complete formulary has been added, increasing very materially the value of this distinguished author's most excellent work. While not a complete dissertation on all the cutaneous disorders of childhood, it will serve exceedingly well as a concise and practical treatise on the symptomatology and treatment of those eruptions which are most likely to come within the domain of the family physician in his care of children. The following subjects are graphically delineated: Alopecia Aræta, Ringworm and Favus, Contagious Impetigo, Psoriasis, Ichthyosis, Eczema. Papilloma Lineare, Pigmented, Hairy and Vascular Nævus; Lupus, and other Tuberculæ, Lichen Ruber and Planus, Hereditary Syphilis, Erythema Nodosum, Purpura, Molluscum, Keratosis Follicularis, Keloid, and Scabies. The Formulary consists of sixty-five pages. The Index is full and complete. The Illustrations most excellent. THE PSYCHOLOGY OF SUGGESTIONA RESEARCH INTO THE SUBCONSCIOUS NATURE OF MAN AND SOCIETY. By BORIS SIDIS, A.M., PhD., Associate in Psychology at the Pathological Institute of the New York State Hospital; with an Introduction by Professor James, of Harvard University. 8vo., cloth, pp. 336. D. APPLETON & Co., Publishers, New York, N. Y. 1898.

Professor James in his introduction says: "Much of the experimental part of the work, although planned entirely by Dr. Sidis, was done in the Harvard Psycholological Laboratory, and I have been more or less in his confidence while his theoretical conclusions, based on his later work in the Pathological Institute of the New York State Hospitals, were taking shape." "I am not convinced of all of Dr. Sids' positions, but I can cordially recommend the volume to all classes of readers as a treatise, both interesting and instructive, and original in a high degree, on a branch of research whose importance is daily growing greater."

The brief examination only that we have been enabled to give this work shows it to be one of more than usual interest, and the consideration given the three parts into which it is divided-Suggestibility, The Self, and Society, evinces the fact that the author has given the subjects careful study and has evolved a book that is both attractive and instructive.

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A CASE OF PANCREATIC CYST TREATED BY INCISION
AND DRAINAGE, WITH COMMENTS *

BY ALBAN DORAN, F.R.C.S., OF LONDON, ENGLAND,

In the case of ovarian cysts in the early days of ovariotomy there were at least two points fairly definite. The nature of

cyst was, as a rule, easy to determine, at least anatomically.
Its removal was clearly the right course to pursue, whatever the
dangers of the operation might be. On the other hand, the

precise nature and relations of a pancreatic cyst are not always
to be made out even by an exploratory operation, nor is it cer-
tain that its extirpation is always justifiable even if practicable.
Drainage after incision, disastrous for an ovarian cyst, seems to
answer well when the cyst is connected with the pancreas.

Read at a meeting of the Medical Society of London, Dec. 13, 1897.

A patient study of the pathology, diagnosis, and treatment of the disease in question can only ensure progress in the right direction. Already the literary records of pancreatic disease within the past twenty years have grown voluminous, and the whole subject cannot be discussed satisfactorily in one memoir. The present communication will therefore consist simply of an account of my own case, with comments on its principal features based upon the experience of others.

E. H., aged 24, single, domestic servant, a patient of Dr. J. Williams, of Connaught Street, W., was admitted into my wards at the Samaritan Free Hospital on May 21, 1897, on account of a prominent abdominal tumor. To all appearances she was a cheerful, well nourished, healthy-looking girl, who might have passed for 18 or 19 years of age. Her complexion was perfectly clear, free from sallowness, janndice, or from any of the usual signs of anæmia, nor did her features express suffering. Her pupils were much dilated, and the uvula elongated. The pulse was 84, the temperature normal or subnormal.

The history was somewhat at variance with these appearances. Four years previously she had suffered from melancholia, and the affection returned a year later, lasting over ten months. She was very quiet during the attacks, but then, as in hospital, she was restless at night, often jumping out of bed in her sleep. No history of any fall or injury could be obtained, but it is clear that she might have injured herself under the above circumstances.

For the last two years her friends noticed that the abdomen was enlarging. Nearly eighteen months ago she had fits of spasmodic pain in the epigastrium with nausea, but no vomiting. These pains gradually became more frequent, though not very violent, and, before admission, occurred about every third or fourth day. She, however, gained rather than lost flesh, and her mental condition greatly improved.

The abdominal tumor was remarkably prominent, and still more remarkably movable. Fig. 1 shows the range of its mobility. As the patient lay down it appeared to be seated in the left part of the abdomen superiorly, reaching the left loin, the ribs, and the umbilical region; it extended to about 2 inches beyond the middle line to the right, and 3 inches below the um

bilicus. It could, however, be pushed to the right till it was perfectly central in position; then there was a clear note in the left loin, and resonance between the tumor and the liver.

The tumor fluctuated distinctly, and its surface felt very smooth. There was no resonance on percussion, excepting occasionally in the course of the first week in hospital, when a clear note could be obtained over a soft prominence on the lowest limits of the tumor to the right. It was evidently part of the alimentary canal, and proved to be the stomach.

Fig. 1. Sketch showing range of mobility of pancreatic cyst. Author's

a. Site of a bulging soft structure, which proved to be the stomach.

case.

The uterus was small and movable, and unconnected with the tumor. I explored the pelvis carefully, as I have removed tumors from the lumbar and hypochondriac regions which proved to be ovarian cysts twisted off their pedicles. The urine was perfectly normal, nor was there any evidence of any hepatic or thoracic disorder. The feces were solid, fairly dark, and

never pale.

Altogether, the tumor seemed to me to be most probably