3.  The  multiplicity  of  secondary  melanoid  formation  is  often  very
striking.  I  have,  indeed,  seen  one  case  in  which,  to  the  last,  only  the
lymphatic  glands  connected  with  the  primary  growth  were  diseased  ;
and  another  in  which  only  the  liver  and  some  lymphatics  were  affected ;
l)ut  the  more  frequent  issue  of  the  cases  almost  Hterally  justifies  the
expression  that  the  disease  is  everywhere.  Are  we  to  conclude  from
this  that  the  multiplication  of  melanoid  cancers  is  more  abundant  than
that  of  the  medullary  cancers,  which  in  other  respects  they  so  closely
resemble  ?  I  think  not.  We  can  easily  see  aU  the  secondary  melanoid  for-
mations, even  the  smallest  and  least  aggregated  ;  and  it  is  often  the
colour  alone  that  draws  attention  to  many  which,  but  for  it,  we
should  not  have  noticed.  I  suspect  that  equally  numerous  formations
exist  in  many  cases  of  medullary  cancers,  but  are  unseen,  being  un-
coloured.
Hjematoid  Cancer.
This  name  may  perhaps  be  retained  to  express  a  form  of  cancer

which   Mr.   Hey  had  chiefly  in  view  when  he  proposed  the  name  of

Funwus  Hsematodes.'     It  is  most  probable  that  all  the  cases  to  which

he  gave  this  name  were   soft   medullary  cancers  ;  and  his  attention

'   Observations  in  Surgery,  p.  239.
H^MATOID   CANCER.  753

was  especially  directed  to  the  fact  that  when  the  morbid  growth  pro-
trudes through  the  skin,  the  protruding  portion  may  have  such  a  shape
as,  in  the  conventional  language  of  surgery,  is  called  fungous,  and
often  bleeds  largely,  and  is  so  vascular,  or  so  infiltrated  with  blood,
that  it  looks  like  a  clot.
