Abstract
[Patient, male, age 48, in good general health presented himself accompanied by his physician, May 12, 1893, for laryngoscopic examination. Had impairment of voice and breathing since November 1892, growing steadily worse, until he fell on the street and became unconscious from laryngeal stenosis and over-exertion. Laryngoscope revealed a soft ovoidal, inflamed tumor filling up the left ventricle, concealing left and part of right,and occupying three-fourths of the glottic space. Patient's breathing loud and stridulous. Syphilis denied by family physician and the case diagnosed as probably everted ventricle associated with laryngitis. Later, patient confesses he has had syphilis and the neoplasm is diagnosed as a gumma and treated successfully as such. Comparative rarity of the two affections and the instructive features of the case.] Mr. W. G. W.. age 48, height 6 feet, weight 175 pounds, occupation capitalist, was brought to my office May 12, 1893, by his physician. Dr.

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