. The Journal of laryngology and otology. ermination. The actual date of death wasascertained in thirty-four cases. In three of them gastrostomyhad been performed. In the remaining thirty-one no surgicalinterference was carried out. On an average death supervened inthem in three months after the examination. Life Avas prolongedfor only a few weeks in several of the cases, and in a number ofthe others for five, six, seven or even eight months. In two of thecases in which gastrostomy was performed death occurred withina few days of the operation, and the third terminated fatally afterfour months
. The Journal of laryngology and otology. ermination. The actual date of death wasascertained in thirty-four cases. In three of them gastrostomyhad been performed. In the remaining thirty-one no surgicalinterference was carried out. On an average death supervened inthem in three months after the examination. Life Avas prolongedfor only a few weeks in several of the cases, and in a number ofthe others for five, six, seven or even eight months. In two of thecases in which gastrostomy was performed death occurred withina few days of the operation, and the third terminated fatally afterfour months. It is not easy to arrive at an explanation of the great variabilitymet with in the duration of the symptoms in this class of case. Itis a well-known fact that so lons^ as the tumour is confined withinthe walls of the oesophagus its progress is slow, but once it passesbeyond the confines of the tube and invades the surroundingtissues a rapid development usually takes place. Even when 296 The Journal of Laryngology, [june, 1913. PLATE Fig. 1.—Squamous epithelioma of the oesophagus and hypo-pharynx from aAvoman, aged forty-eight. Duration of symptoms, seven years.
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