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August 2, 1890


JAMA. 1890;XV(5):180-181. doi:10.1001/jama.1890.02410310020001g

The case I present for your consideration tonight is one of unusual interest. I exhausted every means within my power to induce the patient to present herself before you, but failed to accomplish the desired result. My efforts in this connection were so persistent as to drive her from me. It is totally unnecessary to give any account of history, as it bears little upon the subject in hand. The woman is Irish, single, 35 years of age. She consulted me to obtain relief from excessive dryness of pharynx and "stuffy" sensation in nasal cavities. Exposure of mouth made manifest a large pharyngeal cavity, the walls of which, in all directions, presented the evidences of marked glandular destruction and atrophy of the mucous membrane. That which especially attracted my attention in the pharyngeal cavity was a prominent bulging mass to the right of the median line, typically represented in the