History. —The patient, H. B., aged 72, American teamster, had no remarkable family history. He had grip and severe pneumonia sixteen years ago; otherwise his personal history was negative. He admitted very free use of gin for thirty-eight years, but since 1905 he had taken not more than two drinks each month(?). About fifteen years ago he noticed a small red spot under the skin on the right side of the nose. The redness increased gradually until it covered the whole nose; then he noticed it was beginning to enlarge. The growth was very slow and gave him no inconvenience, except the appearance, until one month before he was seen. About this time he had dragging pain over the eyes, dizziness, frontal headache and when leaning over to lift boxes, etc.,