_Case VI._—Miss J. M., aged 53, was admitted to the New York Skin and Cancer Hospital, July 16, 1914. One year before there was an enlargement of the right breast, with a general hardness. Later it became discolored and a blue ring appeared around the whole breast, and some purulent discharge from the nipple. Three months before entering the hospital the breast softened in one place and ruptured, discharging pus and blood. There had been some pain from the beginning, and latterly it was more constant and severe. On admission the tumor involved the whole breast, which was hard and immovable, with an ulcerating surface over almost the whole extent, with an offensive discharge, and axillary glandular enlargement. There were also small cutaneous nodules near the sternum. She was transferred as inoperable from the surgical to my service on August 26, 1914; she weighed then 106½ pounds, and presented a great fungous mass on the right side about six inches in either diameter, with a profuse and very offensive discharge; she was very weak, with a septic temperature running up to 101 and over, and complained greatly of pain in the tumor. She had been having X-ray once a week, which was continued for a while twice a week, for twenty-four exposures, but without apparent effect. She was very constipated and passed a small amount of urine. She was placed at once on a vegetarian diet (green card) and the same mixture as the other patients, for a while, and a little later was given dialyzed iron during the meals; the wound was dressed with a one per cent solution of permanganate of potassium, later with Russian oil, with some use of peroxid of hydrogen to check the suppuration. For a while she seemed to do remarkably well, the color and strength improving, with less pain and very comfortable nights, without an hypnotic. In a week her weight had increased to 110¾ pounds, but then it fell off a while, but on October 28th it had risen to 111¼ pounds. As there was still a great mass of fungating tissue, helping to keep up the toxic condition, quite a portion of it was excised on September 29th, just after which the hemoglobin rose from 75 to 80 per cent, which was maintained for six weeks, the red blood corpuscles increased to 3,490,000 and the leukocytes diminished to 8,500 from 10,000 when she first came under my care.