of Medicine

Mr NORMAN BARNETT said that Mr Graham Hodgson had reported that there was no definite conclusion in his mind about his (Mr Barnett's) case ; he (Mr Hodgson) had never seen a similar one, and was uncertain whether it was a normal ear with unusual bone development, or whether there was a new growth of bone. He could detect no radiological evidence of the porosis of the cochlea which he had always seen in cases of otosclerosis. At present, however, negative X-ray evidence was not sufficient to rule out the possibility of otosclerosis. Mr T. B. LAYTON asked what the President proposed to do with the papilloma, if anything. Would he remove bone ? Sir JAMES DUNDAS-GRANT asked what was the result of probing in epithelioma simulating papilloma. He had himself found an enormous amount of denudation of bone beyond it. Mr SYDNEY SCOTT asked—In the second case, what was the patient's age ? In case the papilloma proved to be malignant, he suggested applying surgical diathermy. He preferred to have a pathologist present at the time of operation, to cut a frozen section. If it were malignant, he would at once perform a more extensive operation than one originally planned. The PRESIDENT (in reply) said that he proposed to carry out a modified mastoid operation, removing the posterior wall of the meatus, cartilage included, after removing some bone. After microscopical examination of a small portion, the growth was reported to be a papilloma.