Believing that the presentation of cases having either special pathologic features or dependent on unusual causes, or amenable only to special lines of treatment, would be of interest. I have selected from my case book several groups of cases which have come under my observation during the past two years.
The first group comprises a number of cases of hypertrophied lymphoid tissue in the vault of the pharynx, all of which required for their relief operative interference. The points of interest in these cases, relate to the age and the character of the symptoms. Out of the last 230 patients in my case book, 34 had hypertrophy of the third or Luschka's tonsil. Of this number eleven were from 15 to 20 years of age; eleven from 20 to 25; eleven from 25 to 35, and one 40 years of age. The age of the majority of these patients attracted