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nests of epithelial cells, many of which included " pearl bodies." It was considered that the process of degeneration had not extended over more than from three to four months. The author remarks, " There seems " little doubt that an injury of the vocal cord sustained during a paroxysm "of coughing occasioned the benignant growth which later suffered degeneration." The author also remarks that the moral to be derived is that " safety only lies in the earliest possible removal of all tumours,doi:10.1017/s1755146300155428 fatcat:3vo2fiqbu5hq7mp3662cgtiisu