Peter King, colored, aged 15, born in Maryland, was admitted into the City Hospital, Baltimore, on March 31, 1882. His family history was good. His personal history was as follows: Between two and three years ago his mother had first called his attention to a generally enlarged condition of the left side of his lower jaw, and a consequent swelling of that part of the face. This became more and more apparent, the growth was recognized by his medical attendant to be confined to the inferior maxilla, and, as it spread in every direction, the teeth had been displaced and the tongue pushed well over to the right. About two months before he came under my observation an enlarged gland had made its appearance in the left submaxillary triangle, which frightened the patient, and decided him to have all removed if possible.
On April 15, 1882, the patient being fully