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tous Sarcoma of the Perineum-Urinary Abscesses and · Fistules from Chronic Stricture of the Urethra. BY S. W. GROSS, M.D., Lecturer on the Diseases of the Genito-Urinary Organs in the Jefferson Medical College, and Sur- geon to the Philadelphia Orthopedic Hospital. I was consulted in July, 1870, by a shoemaker, 58 years of age, whose perineum presented a most grotesque appearance. Dependent from the right side of the anal perineum hung a tumor of fifteen years' standing, which was ovoid in shape, with a broad attachment, and measured around its largest circumfer- ence eight inches and seven inches antero-posteriorly. It was painless, freely movable, and covered by healthy integuments, which were dimpled above, while its surface was somewhat irregular, rather than finely lobulated. To the touch it was unevenly elastic, and, in parts, soft and compressible, imparting a sensation of both fluid and solid, and resembling a fatty or