J. F., aged 14, a student in the gymnasium of one of the theological schools in Milwaukee, a minister's son, German parentage, referred to me by Dr. D. J. Hayes, consulted me about a protrusion of the eyeball and double vision. The cervical lymphatics of the left side began to enlarge about eight months before and the swelling increased rapidly until at present it is the size of a large orange. There has been no particular pain or illness until a few days before, when Dr. Hayes was called to examine and prescribe for him on account of ill defined symptoms, among them headache and general malaise. The doctor kindly referred the case to me for treatment of the eye. The patient had been seeing double for several days and the eyes were observed to diverge since three days ago.
Upon examination I found a large nodulated tumor of the