A. a. 83. Scirrhous tumor removed from the parotidean
region, by Mr. R. Power. The patient, a married female,
set. forty, active, and, to all appearance, healthy, stated that
the disease had commenced nine years before, by a hard
swelling, about the size of a pea, above the left angle of the
jaw, its appearance having been preceded, for a few days, by
pain in the ear, which she attributed to cold; from this period
it continued to, enlarge gradually, and equally, at first causing
no annoyance, but as it increased in bulk, giving rise to much
distress.
At the time of her admission into hospital, the tumor had;
attained rather a large size; it occupied the external part of
the parotid gland,-displacing the lobe of the ear, extending
upwards as high as the zygoma, and backwards, to the sterno-
mastoid muscle : it was hard and resisting to the touch, and
slightly moveable, in the fixed condition of the jaw. It was
attended with a sharp, tingling pain, often depriving her of
sleep, and giving rise to considerable difficulty in mastication.
The other co-existing symptoms were pain in the left eye-ball,
with dimness of vision and internal obliquity ; numbness and
soreness of the left side of the face; slight indistinctness of
speech, and impairment of the sense of taste ; atrophy of left
half of the tongue, which, when protruded, is drawn to that