Metastatic hypernephroma of the accessory nasal sinuses is, judged by the literature, of infrequent occurrence; this case is reported in the hope that it may, therefore, be of some interest. REPORT OF A CASE The patient, a white woman aged 52, first seen on Jan. 25, 1934, complained of a swelling above the right eye and a bloody purulent discharge from the right nostril. The family and the personal history were completely irrelevant. The patient had had an infection of the head in November 1933, with profuse bloody purulent discharge, especially from the right nostril. The infection apparently subsided, but a month later a slowly increasing swelling appeared above the right eye; the nasal discharge, both anterior and posterior, persisted, but there was no pain or headache. The patient thought the vision of the right eye was slightly impaired. Except for occasional discomfort in the left upper quadrant of the