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A CASE of the simultaneous occurrence of several dissimilar neoplasms of bone is sufficiently rare to merit record. P. S., male, aged 48, a cultivator, was admitted into the Medical College Hospitals under the care of one of us (P. N. R.).HISToRY.-About the latter part of 1933 he noticed a painless swelling of his right thigh above the knee. About the middle of 1934 he sustained a simple fracture of the femur at this site after a trivial accident which he described as a stumble on the bank of a pond. Firm union occurred in about three months, after which period he was able to walk about with some difficulty. Since this date the limb was never free from pain. In January, 1935, he noticed a painful swelling of his left collar-bone, which he ascribed to his habit of carrying heavy loads on his shoulder. Within a few months he began to complain of pain along the inner side of his left arm and forearm. In February, 1936, he noticed some weakness in gait, and soon afterwards loss of control over his bladder and bowels. Paralysis of the lower limbs was complete in a month or two.ON ADMIssIoN.-The patient presented a cachectic appearance, with bilateral proptosis, dyspncea and cyanosis, marked enlargement of the vessels of the neck, and complete paralysis of the lower extremities. Temperature, 101' F. ; pulserate, 126/44. PHYSICAL EXAMINATION.-Right Femur: The lower third of the femur appeared moderately expandcd and pyriform in shape. The longitudinal and transverse diameters were nearly 64 x 49in. respectively. There was an old malunited fracture with shortening of I+ in., and typical eversion of the foot. There were numerous and prominent veins in front of the knee and the lower third of the thigh. There was also an aneurysm of the popliteal artery. The knee-joint was free, and could be bent to a little over 9 0 ' .Left Clavicle : The neoplasm occupied the inner three-fourths of the clavicle, the supraclavicular fossa, and the first intercostal space. There were numerous large veins over the tumour, and it was 5 x 4in. in dimension.Paraplegia: The level of paresis extended up to the 5th intercostal space. Anzsthesia and paralysis were complete below the level of the umbilicus. Bladder : Retention with overflow. Rectum : Involuntary motions.

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A 40-year-old male patient presented to our clinic with history of dysphagia and ulceration in the palate for two months. After history-taking and thorough clinical examination, investigations like routine blood parameters, chest skiagram, sputum for acid-fast bacilli, ultrasonography of the abdomen, and biopsy from the palatal lesion were performed. No evidence in support of pulmonary or abdominal tuberculosis was found. Histopathological examination of the biopsy revealed granulomatous inflammation with Langhans giant cells and caseation necrosis. Diagnosis of primary tuberculosis of soft palate was made. Anti- tubercular regimen (CAT I) for 6 months was prescribed, and we got a dramatic response noted within 15 days. As isolated tuberculosis of soft palate is a very rare entity, one should, therefore, consider it in any case of chronic ulcer of the soft palate. Response to CAT 1 was excellent in our case.

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