GENERAL CONSIDERATIONS Torrigiani and Palumbo1reported the results of treatment by irradiation of malignant tumors of the upper respiratory passages. After years of experience they continue to prefer treatment by radium to that with roentgen rays. They make use of surgical operation to facilitate the application of radium. Thirty-six tumors involving the nose and paranasal sinuses, 30 involving the nasopharynx, 88 involving the pharynx and tonsils, 32 involving the hypopharynx and 30 involving the larynx were listed, with the type of treatment and results. They stated that the cases considered by many as the most favorable for surgical intervention are also the most favorable for radium therapy. They prefer to irradiate the metastatic lesions rather than expose the patient to extensive block dissections. Eigler and Koch2reported 8 cases of reticulo-endothelial sarcoma: 5 tumors of the tonsil, 1 of the nasopharynx and 2 arising in the cervical lymph nodes. They