At that time he was said to have had piles and itching for twelve months. Examination revealed a warty growth at the anterior margin of the anus. This was removed by operation, and in the middle of it a small fistula was discovered; this was laid open and the raw surface was lightly cauterized. The pathological report on the growth removed stated that it was hypertrophied stratified epithelium. The wound healed and the patient remained well for six months; there was then, he states, a recurrence of growth and moisture. He did not come for examination until February, 1928. Opinions are asked as to the nature of the condition and treatment suggested. The blood Wassermann reaction is negative.
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