732 THE EESPIEATOEY TEACT. 



recurred^ and recently began to grow rapidly. The consulting surgeons made 

 the diagnosis " cancer," and foretold an approaching ulceration for which the 

 relatives had to be prepared. The attending physician, Dr. Schoney, soon 

 afterward brought some sputa of the patient to my laboratory, being struck 

 by their large quantity. On microscopic examination, besides pus-corpuscles, 

 numerous globular elements were also seen, characteristic of the so-called 

 round-cell sarcoma or globo-myeloma. The diagnosis was : secondary forma- 

 tion of myeloma in the lungs, due to a primary myeloma in the groin, which 

 latter would not ulcerate. The post-mortem examination a few weeks after- 

 ward fully corroborated my diagnosis, though I never had seen the patient. 

 The lungs were crowded with white nodules of myeloma, and the tumor in the 

 groin proved to be an alveolar myeloma which had never come to ulceration." 



