MALIGNANT GROWTHS IN THE NASAL SINUSES. 
701 
grey color, while the carcinomata (and the variety known as 
epithelioma is the most common found here), is much quicker 
in its growth, excessive haemorrhage upon the lightest irritation, 
softness showing less organization, due to rapid growth, great 
quantity of fluid in its structure, odor, blackish-gray in color 
and devoid of any semblance of shape unless it might be the 
head of a cauliflower. 
These, gentlemen, are the thoughts which have come into 
my mind while writing this article and by no means cover the 
subject as it should, but which I think are sufficient to start a 
discussion and by that means bring out the observations of those 
present. 
If you will bear with me a few moments longer, I will out¬ 
line briefly the case from which the slide presented for your 
inspection' was taken : Ch. g., aged, which one of the students 
sought my advice on and afterwards sent to the hospital for ex¬ 
amination, which revealed prominent swelling over the highest 
maxillary sinuses with bone softer than usual, marked dullness 
on percussion, discharge from nostril of pus, thin, watery fluid 
of yellowish-green tint and slight traces of blood and of the most 
offensive odor. Examination of buccal cavity and teeth negative. 
Upon opening the sinus at the centre of the swelling it was 
necessary to stand aside for a time on account of the odor and 
fluid which emanated from within. Upon exploring with the 
finger a soft roughened mass could be felt, which was most easily 
broken down and caused a most profuse haemorrhage. Two 
days later the growth had grown so rapidly as to be plainly vis¬ 
ible at the opening. I tried to get a section for microscopical 
examination, but it was impossible to do so without casting, 
owing to the temper of the animal; recommended that he be 
destroyed, but which was not done. About four days later the 
growth could be plainly felt in the back part of hard palate 
which was undergoing the degenerating changes. 
If my memory serves me right, the animal died about nine 
or ten days after admittance to the hospital. 
Post-mortem found the sinuses filled with a blackish-gray 
