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personally in the post-mortem rooms of the Public Mortuary. The following is a list of the new growths which have been examined :--
I. Malignant New Growths.
1. Primary cancer of the liver.
2. Endothelioma of the pleura.
3. Primary scirrhus cancer of the mamma.
4. Cancer of the cervix uteri.
5. Colloid cancer of the stomach.
6. Mixed celled sarcoma of leg.
7. Epithelioma of the penis. 8. Malignant ovarian cystoma.
9. Malignant tumour of the adrenal.
II. Non-Malignant New Growths.
1. Fibroma (arm).
2. Lipoma (neck).
3. Chondroma (fibrons).
4. Myomara (nterus).
5. Papilloma (vulva).
6. Adenonata (breast, bladder).
7. Dermoid (ovary).
8. Mixed tumour of parotid.
Opinion is general that new growths are uncommon amongst the Chinese. At the Public Mortuary, I rarely come across many tumours and I understand the experience of those in charge of the local hospitals is similar. Our knowledge of the prevalence and distribution of new growths in China, and even in Asia is very limited. No accurate information is available. According to the writers in the Chinese Customs Medical Reports, huge sarcomatous tumours have been found, and, according to some medical men, the Chinese would appear to be more liable to malignant tumours than other Eastern races. Again, MAXWELL and others have reported on the prevalence of most of the forms of malignant disease in South China. They are of the opinion that there are many fewer cases than at home." However one must remember that, Chinese suffering from malignant new growths rarely enter hospital, preferring to die quietly in their native country. In this way, the majority of new growths in the native population tiever come before us. From what I have seen in the various hospitals for Chinese in Hongkong, I am inclined to the opinion, that malignant tumours are by no means uncommon, and if accurate statistics were available, the prevalence of inalignant disease amongst the Chinese would not fall far short of that found in other countries. In the determination of the prevalence of cancer, racial proclivity is said to have a con- siderable share. Black races are said to enjoy a remarkable immunity, yellow races are more prone to suffer, and white races are the most liable to the develop- tent of such new growths. At the present time, however, when so much atten- tion is being paid to the geographical distribution of malignant disease and its causation, the evidence on this point is very conflicting. The antagonism, which is said to exist between malaria and cancer, bas little to recommend it.
A Case of Tumour of the Adrenal.
Tumours of this gland are not frequently met with, hence my reason for putting on record the present case. Long ago, VIRCHOW described hyperplasia of supra-renal capsule and designated these enlargements as "struma suprarenalis." The classification of tumours of the adrenal presents many difficulties. Certain new growths reproduce the structure of the supra-renal capsule in a more or less typical manner. Others are described as adenomata and carcinomata, because of the arrangement of their cells, their cell morphology, and the presence of a definite stroma. At the present day, one generally adopts the nomenclature of BIRCH- HIRSCHFELD, namely, adrenal tumours (strictu sensu) and hyper nephromata.
The case which I report at present belongs to the first of these groups, namely, an adrenal tumour or new growth in the supra-renal capsule.