In these days of modern rhinology, one does not expect to see the pathologic curiosities of a century ago. A youth, living in the St. Francis basin, was brought to see a physician for relief from a fleshy mass that was choking him. The history of the case was as follows:
S. J., aged 17, while vomiting became strangled by a fleshy mass which appeared in his mouth. The patient was unaware of the presence of any growth in his pharynx, though breathing through the left naris had been difficult at times during the past year.
Fig. 1.—Drawing of tumor in situ.
Examination revealed a bruised and ulcerated mass, half the size of the tongue, lying on the dorsum of the tongue. The attachment could easily be traced into the nasopharynx and through the left choana into the left naris.
A roentgenogram showed the left antrum to be cloudy.
Operation