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To the Editor.—I have read Dr. J. A. Harpman's letter with interest. I personally, have not seen a glomus jugulare tumor in any patient under 20 years of age. I explored a boy of 14 who I thought had a glomus jugulare tumor but on operation proved not to have a tumor!
Many assume that the tumor grows more slowly in the elderly, however, I know of no significant data to substantiate this assumption.
Prior to Dr. Otani's recognition of the true nature of this tumor, in our first case, there undoubtedly were many cases which were mistakenly labeled hemangio-endotheliosarcoma, etc, etc.