It is not an unusual thing to find hypertrophy of the glandular tissue at the base of the tongue. When in a normal condition this region is crowded with glands which are large in comparison with the other lingual glands. But in the case which I report to you to-day the tissue, in size and appearance, was a real lingual tonsil, as can easily be seen from the photograph which I herewith present to you.
Mrs. H., æt. 44, was sent to me in May, 1884, by her family physician. Dr. DeWitt, of Mt. Auburn, for the removal of a tumor at the base of the tongue. When young she had been quite delicate and menstruation had been delayed until her nineteenth year. About this time she had a severe attack of "sore throat," the nature of which I was unable to more than conjecture, which left her with a