. Saint Louis Medical and Surgical Journal. in the ordinary manner, noth-ing abnormal could be seen. With the laryngeal mirror a largetumor came into view,almost completely filling the upper cavityof the larynx. It was round, pretty smooth, rather soft to thetouch, covered witli congested mucous membrane, in which sev-eral vessels could be distinctly traced,and attached broadly in itsposterior portion, exactly where, whether to the arytenoid re-gion of the larynx, or to the posterior wall of the lower pharynx,could not be determined at that time. There was no ulceration,and no enlargement of l
. Saint Louis Medical and Surgical Journal. in the ordinary manner, noth-ing abnormal could be seen. With the laryngeal mirror a largetumor came into view,almost completely filling the upper cavityof the larynx. It was round, pretty smooth, rather soft to thetouch, covered witli congested mucous membrane, in which sev-eral vessels could be distinctly traced,and attached broadly in itsposterior portion, exactly where, whether to the arytenoid re-gion of the larynx, or to the posterior wall of the lower pharynx,could not be determined at that time. There was no ulceration,and no enlargement of lymphatic glands. The situation of the growth was almost identical withthat of a fibroid reported by Voltolini^, which also hada broad attachment, and which apparently did not recur afterremoval by the galvano-caustic loop. It was decided to re-move the growth in our case by the same means,afler prelimi-nary tracheotomy. Dr. Homans did tracheotomy the next day. 1. Die Anwendung der Galvanocaustik, 2 te., Aufl. Wien, 1872,p. 226. Fi. Retro-Pharyngeal Sarcoma. Tumor as seen by laryngeal mirror.(Seep. 266.) 1879.] American Laryngologtcal Assoctatton. 267 Instead of using a simple platinum loop, I had the extremity ofMackenzies guarded wheel ecrascur fitted to Voltolinis han-dle, and protected on the posterior aspect by hard rubber. Nothing could have been more satisfactory than the opera-tion, the growth being quickly removed close to the pharyngealwall with but little hemorrhage. It was of the size of a smallhorse-chestnut, encapsulated, and its cut surface about half aninch in diameter. We had hoped that, notwithstanding its rathersoft feeling, it, like Voltolinis, would prove a fibroid. But itwas pionounced by Dr. Cutler, and afterwards by Dr. Pitz, to bea small celled spindle sarcoma. Dr. Cutlers report of the microscopic appearance of thegrowth after hardening was as follows: It was composedof moderately small spindle cells, lying singly in a very smallamount of inter
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