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SUMMARY.-An analysis of 101 cases of breast carcinoma occurring in patients under 35 years of age is presented with details of clinical stage, site, size and histological appearances of the tumour. Various factors are correlated with survival and the prognosis of the patient under 35 years is found to be closely related to the histological appearances of the tumour, which are reflected in the clinical stage at presentation. The question of treatment of carcinoma of the breast in the young woman is discussed.

Five cases of perianal infection caused by nonclostridial gas‐producing organisms are reported. Four were males in their sixth decade, 2 of whom were diabetics, and the fifth was a female in her third decade. Two cases died, and the severity of these infections is emphasized. The diagnosis and treatment of non‐clostridial gas‐producing infections are discussed.

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procedure resulted in the rclief of symptoms in each casc but was not curative. Three patients survived for 8, 9, and 12 months, respectively, but then died with metastases. T w o patients are still alive 16 and 18 months, respectively, after operation, but I of these had hepatic metastases at the time of operation.Carcinoma of the duodenum should be considered in the differential diagnosis of all cases of obstructive jaundice. Careful radiological investigation is the most important diagnostic approach and radical surgery holds the best prognosis.Acknowledgements.-I wish to thank Miss P.