562 Diseases of Connective Tissue. 



It grew upon the buttock of a girl about 12 years of age. It pro- 

 jected in the form of a rounded fungus of a dirty red colour, the surface of 

 which occasionally peeled off and bled profusely. After it was extirpated,. 

 the wound cicatrised and remained sound, but in about two months 

 a deep-seated tumour suddenly appeared in the groin, attended with 

 severe pain. This grew rapidly to a large size, dipping towards the 

 abdomen. The leg became cfedematous, and the patient died. 



The tumour is composed of numerous septa of delicate 

 connective tissue, enclosing small lobules of a soft material. 



G. C. 920. 



Recurrent Fibroid Tumours. 

 9, 58, Recuppent Fibpoid Tumoup of the Loin. — Section of 



a tumour with a cicatrix in the overlying skin, removed from the 

 loin of a young woman for the third time — in spirit. 



The following notes of the case are taken from Professor Spence's 

 Snrgery, vol. i. 2nd edition, page 186. 



"Jane Easton first consulted the late Dr Maclagan in the year 

 1832. At that time she was 22 years of age, and applied for advice in 

 consequence of a tumour of some three years' growth, situated in the left 

 lumbar region, about one inch from the spine. It was about the size of a 

 jargonelle pear, firm, but elastic in consistence, and freely movable. 

 Below the tumour the skin for some little distance was indurated. The 

 tumour, and also the adjoining diseased skin, were removed, and the growth 

 was on examination found to present the ordinary characters of a simple 

 fibrous tumour. About a year afterwards, however, a recurrence of the- 

 growth took place, in the form of three small tumours, situated in the 

 cicatrix, resulting from the former operation. These tumours, together 

 with the scar, were thoroughly removed by Dr Douglas Maclagan in 1834 ;- 

 but again, 18 months later, the growth for the third time appeared in 

 the same situation as before. After increasing in bulk for a year and a 

 half, this was also removed by Dr D. Maclagan, and was found to possess 

 the same firmness and elasticity, and to present the same semi-transparent 

 pinkish-grey colour as was noticed in the original tumour." 



About twenty years afterwards, i.e. March 1857, she was seen by 

 Professor Spence, on account of another tumour, 1\ in. long, li broad, 

 and H in. at its thickest part. This tumour had grown for a year in the 

 old cicatrix. It was of an elastic nature, and had a pinkish translucent 

 appearance at the surface. It was freely removed, along with the adjacent 

 lumbar fasciae and surrounding scar, and there was no return. In 1868 

 the patient again came under Professor Spence's care for a firm, fibrous 

 tumour of the right mamma, of about the size of a small half mel6n. 

 This and the mamma were removed, and she made a good recovery. On 



