You will now, however, be specially interested when you see the change which has been wrought in her face by Dr. Semken, one of our attending surgeons, who performed a plastic operation on her, beginning Nov. 14, with the preparation of a flap on the right arm. This flap was lined with a Thiersch skin graft from the leg, so as to secure a proper mucous lining in the mouth, and left _in situ_ until Nov. 24, when it was attached to the face, after the scar tissue had been cut away. The arm was held in place by a plaster of Paris dressing until yesterday, when the attachment to the arm was finally severed, after several partial separations. The skin graft took from the first, without any drawback, and now you see the opening entirely and perfectly covered. You will notice that the ectropion, which was so marked when you first saw her with the ulcerating surface, has about disappeared, and Dr. Semken believes that there will be still further improvement in this respect. I must not keep you longer, though I should have liked to narrate other cases of carcinoma in other locations which are of interest. I trust, however, that you have heard and seen enough to be quite satisfied as to the correctness of the principles I have tried to lay down, and also as to the success following their proper and careful application. How far they will serve for cancer in general, as it affects various organs and parts of the body, remains to be seen, when many others have reported their results. Whether also this line of thought will apply to sarcoma in general remains to be seen, for sarcoma is really of much the same nature of malignant cell growth, only affecting the connective tissue elements instead of the epithelium. In closing I must again remind you that it is no trifling matter to undertake the treatment of cancer by dietary and medicinal means, even though from what you have seen and heard you may think otherwise. Each case requires the utmost careful study and adaptation of remedies as may be indicated to bring the patient into a condition of perfect health. Diet alone will not accomplish this, but without the proper diet, as already indicated, all other efforts are unavailing to check the dire disease. With the proper carrying out of every detail the success is certainly much greater than with surgery, and with advancing knowledge and practise along these lines we shall undoubtedly see a satisfactory diminution in the deaths from cancer, whose death rate has so steadily risen under the measures heretofore employed. SUMMARY THE REAL CANCER PROBLEM[2]