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cervix, and the cavity, therefore, was reduced by sutures anda subtotal hysterectomy, with removal of both appendages.There was no doubt that the cyst lay wholly within the

substance of the cervix, for a most definite and intact

capsule of cervix was visible at the end of the enucleation.Its situation appeared to be in the posterior wall, but thecervical canal was not seen. There were no peritonealadhesions whatsoever. The patient made an uninterruptedrecovery. When seen in March, 1926, she complained ofsome discomfort in the pelvis, and at examination a littlethickening, apparently in the recto-vaginal space, was felt ;this was probably inflammatory.

The first genuine case of primary hydatid tumourof the uterus occurring in this country, said Dr.Murray, had been recorded by Giles.3 De Vries,4 4who reported a case in 1904, found at that time onlyseven genuine cases ii4 literature. Tittell 5 recordeda uterus the size of an eight months’ pregnancy withovaries each the size of a child’s head ; all three organscontained an enormous quantity of cysts and hooklets,without evidence of hydatid cyst elsewhere. The

present case could not, of course, be compared withthose just quoted, except in its suggestion of infectionof the uterus through the blood stream rather thanthe digestive tract.

Dr. ARTHUR GEMMELL (Liverpool) reported a caseof congenital absence of the vagina associated withfull development of the uterus and appendages andthe presence of extra digits. The patient was 18 yearsof age and hsematometra and hsematosalpinx werepresent. The secondary sexual characteristics werewell developed. Absence of the vagina associatedwith heematometra, said Dr. Gemmell, was a rarecondition, and he had been able to find only 14 casesin the literature.

Dr. J. E. GEMMELL (Liverpool) showed a specimenof carcinoma of the body of the uterus.-Dr. J. W. A.HUNTER described a case of acute post-partumoedema of the cervix, and Dr. G. W. THEOBALD reada paper on the Toxaemias of Pregnancy.

MANCHESTER MEDICO-CHIRURGICAL ANDOBSTETRIC SOCIETY.

AT a meeting of this Society held on April 21st Mr.A. C. MAGIAN, the President, took the chair and intro-duced a discussion on the

Compulsory Notification of Cancer.Notification, he said, would show up the enormousnumber of cases at present unknown to statisticians.Probably many thousands of people died annuallywithout a record of the actual cause of death becausethe general practitioner was apt to gloss over thematter for the sake of the relatives’ feelings. Thismust not be counted against him, but rather againstthe system. Notification, however, would prevent anincorrect record of a case of cancer and would alsocompel early treatment. Early surgical treatment stillgave the most successful results. Unfortunatelymany patients could not get early treatment at thepresent time owing to overcrowding of the hospitals.Notification, by calling attention to every case, wouldcompel an increase in hospital accommodation, just ascompulsory notification of tuberculosis brought aboutthe provision of sanatoriums and clinics for the tuber-culous. No doubt it would involve the appointmentof many officials and produce friction, and no onewould be grateful for its enforcement. This, however,must not stand in the way of a measure for the publicgood. In addition to compulsory notification, Mr.Magian urged that information on uterine cancer

should be posted in all public conveniences for women,and that wherever notices about venereal diseasewere exhibited similar notices on tubercle and cancershould appear. An additional 1d. on the rates would

3 THE LANCET,, 1911, i., 1700.4 Quoted in discussion of Giles’s paper (Proc. Roy. Soc. Med.,

April 6th, 1911).5 Arch. für Gynäk., 1907, Bd. lxxxii., p. 180.

cover the costs of notification and of new beds andwould allow patients to have almost immediateattention.’

Dr. C. 1BTARLEY-CASS said that compulsory notifica-tion would be very hard to enforce and might causesufferers to conceal their complaint even longer.Any scheme, however, that would really bring aboutbetter accommodation and earlier treatment oughtto be supported.

Dr. S. W. H. STUART was opposed to any schemethat would lead to an increase in the present armyof officials. The work of the general practitioner wasbecoming a burden to him by reason of the ever-increasing number of regulations and restrictions andthe filling up of forms.

Dr. JOHN HowE thought that compulsory notifica-tion would probably be in the best interests of thepatient.

Dr. ENID STOWELL, Dr. P. T. CATTO, Dr. HELM,Dr. J. G. SHANKLIN, Dr. OLIVER, and other speakerstook part in the discussion.

The PRESIDENT, in his reply, said that practitionerskeenly resented the delays in admission to hospital.He believed that the State ought to take over thehospitals and pay the bare costs of administration.The general public should then be asked to subscribetowards the extra cost of good furniture, equipment,and small luxuries. This scheme would ensure hospitalaccommodation at an early date for every deservingcase, and yet would not remove the praiseworthyelement of voluntary effort.

ABERDEEN MEDICO-CHIRURGICAL SOCIETY.

A CLINICAL meeting of this Society was held onApril 1st, Dr. J. CROMBIB, the President, in the chair.

Dr. A. G. ANDERSON showed two patients. Thefirst was a girl of 12 years with amyotonia congenita.The main features of the case were the extremeflaccidity of the muscles, diminished reflexes, and thepossibility of placing the child in fantastic attitudes.She could sit up but was unable to raise herself intoa sitting posture when lying on the back. Thesecond was a man aged 21 suffering from pseudo-hypertrophic paralysis. The condition began betweenthe ages of 14 and 15, which, said Dr. Anderson, wasrather unusual. There were eight in the family.The eldest was affected, the five next were normal,and the two youngest suffered from the disease.The patient could walk fairly well and was able topursue his university studies.

Dr. A. W. HENDRY showed a woman of 25 withwell-marked signs of acromegaly. She was seen firstabout a year ago when complaining of headache andfits of an epileptiform nature. These occurred everyfour to seven weeks. She noted the enlargement ofthe jaw, hands, and feet when aged 18. Noabnormality of the nervous system had been found,but an X ray showed a greatly enlarged sella turcica.

Dr. JOHN CRAIG showed a little girl who developedwhooping-cough in December, 1924. There were noconvulsions and no unexplained fever, but on gettingup in January, 1925, she noticed a weakness of theright hand, arm, and leg. The case was one ofundoubted infantile hemiplegia. Dr. Craig mentionedthat athetosis was more common in cases of infantilehemiplegia than in adults. The case was shown asillustrating a rare sequel to whooping-cough.

Mr. G. H. COLT showed a female patient aged20 years who had suffered from a severe non-compoundfracture of the right frontal bone. The unconsciousnesson admission was not profound and she had bleedingfrom the right ear. A large trephining operationwas done on the night of admission and with the-exception of a slight recession of the right eye anda slight inconstant nystagmoid movement and lossof memory for names-but not for faces-she hadmade a very good recovery. The question ofcompensation was discussed at length.