The laryngologist, as a rule, becomes quite expert in the diagnosis of lesions which are primary in the nose and throat. The lesions of the mucous membrane which are secondary to general diseases are often more difficult to diagnose. It is important to note that the first manifestation of certain general diseases may occur in the nose, throat or mouth, and on this account the patient consults a laryngologist primarily. If the laryngologist is not cognizant of the nature of the disease and does not immediately refer such cases to the internist, the general treatment which is required may be delayed until little can be accomplished. The four cases reported here are illustrative of diseases which may manifest themselves first in the nose, throat or mouth. The lesions were all different and unusual.
REPORT OF CASES
Case 1.—Nodular Tumors of the Mucous Membrane of the Pharynx and Larynx in Chronic