James Eckersley, age 49, machinist, worker in the emery room of a sewing machine factory, was sent to me Aug. 7, 1896, for diagnosis and opinion concerning the condition of his throat. He complained of loss of voice, sore throat, sore chest, cough, difficulty in breathing, poor appetite, weakness and night sweats. The cough had troubled him from time to time, for thirteen years. He was able to sing up to three months since; then he became hoarse, and has remained so up to date. I found a large growth in the larynx, which was attached to the right vocal chord and the adjacent anterior and inferior parts, and extended across the anterior commissure. The larynx was dilated to an extreme degree by the formation. There was a small opening in the respiratory space between the arytenoids, and there were two abrasions on the top of the tumor, apparently caused