We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......


G. STERLING RYERSON, M.D., C.M., L.R.C.S. (Edin.).
JAMA. 1906;XLVII(25):2051-2052. doi:10.1001/jama.1906.25210250005001a.
Text Size: A A A
Published online


The formation of epithelial plugs of considerable size must be counted among the rare diseases of the ear. In my practice, private and hospital, extending over more than a quarter of a century, I have met with only two cases. The literature of the subject also confirms their rarity. They would appear to be allied in nature to cholesteatomata, described by Mueller and Virchow as pearl tumor, possessing a well marked wall with contents of hornified or epidermized cells arranged in layers like an onion. The same description applies to the tumor described by Habermann as occurring in the mastoid antrum, many examples of which are recorded. In the cases which I report there did not appear to be any middle ear involvement in so far as epithelial growth was concerned, though there was a history of previous suppurative trouble in both. Further, the removal of the growth from the


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.