The areola was large and well marked, and 1/4 inch from its outer edge, immediately under the nipple, there was an ulcer with slightly elevated edges measuring about 1 1/4 inches across the base, and having an opening in its center 1/4 inch in diameter, covered with a thin scab.

By removing the scab and making pressure at the base of the ulcer, drops of thick, mucopurulent matter were made to exude.

This discharge, however, was not offensive to the smell.

On March 17, 1846, the breast became much enlarged and congested, as portrayed in Plate 1.

The ulcer was much inflamed and painful, the veins corded and deep colored, and there was a free discharge of sanguineous yellowish matter.