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Mrs. R. K., aged 63, enjoyed general good health until she was 44 years old, when her menses became irregular and painful, for five years, and then ceased. Her health slowly returned, and remained good for about four years, when she was attacked with gastralgia, the pain recurring once a month for near a year, and, after six months rest, returned with renewed vigor.
About this time she noticed a small lump in her right breast just above the nipple, which, at times, would pain her at night.
July 20, 1882, Mrs. K. came under my observation, and said for the past six or seven years, she had had neuralgia of the stomach, and a tumor in her right breast. The neuralgia occurs irregularly, from twice a week to once a month, and, evidently, was due to chronic malarial poisoning.
The breast contains a firm, roundish, nodulated tumor, about the