564 Diseases of Connective Tissue. 



The patient on admission was a healthy-looking man, very vigorous 

 for his years. There were extensive scars on the upper and outer parts of 

 his left forearm and lower part of the upper arm. Just above the elbow, 

 below a portion of the scar, a large mass of new growth projected on the 

 outside, and reached over the front to the inside. The skin over it was 

 thin, very vascular, and of a purple plum-colour. On the forearm, 

 beneath the cicatrices, were two separate nodules about the size of a 

 bantam's egg, which did not involve the skin. The hand was useless, 

 and the fingers were stiff. 



The arm was amputated on August 9th, and the patient made a 

 good recovery. 



On section the substance of the large mass was like that 



of an inflamed lymphatic gland, grey in colour, soft, juicy, and 



vascular in texture, and at one or two places it showed a 



softening like mucoid degeneration. It seemed encapsuled at 



most places, but at one spot the muscles were infiltrated. The 



substance of the smaller nodules was firmer and less vascular, 



but similar to that of the large mass. Microscopically the 



tumour is composed of round and spindle cells. G. C. 3447. 



Presented by Charles W. Cathcart, F.R.C.S.E. , 1892. 



9. 60. ReCUPPent FibPOid TumOUP.— Papier-mache cast, show- 

 ing the appearance before operation of the arm from which the 

 previous specimen was taken. G. C. 3448. 



Presented ly Charles "\V.- Cathcart, F.R.C.S.E., 1892. 



9. 61. Lapge Recuppent FibPoid Tumoup.— Section of a 



large recurrent fibroid removed for the fifth time from the 

 back without dissemination — in spirit. 



John Allister, an elderly man, noticed in 1805 a small tumour, the 

 size of a hazel nut, above the left haunch. It was movable, elastic, and 

 of the colour of skin. In three years it had grown to be the size of a 

 hen's egg. At that time lie fell and struck it, when it inflamed, became 

 painful, and soon was as large as two fists. It got still larger, and was 

 dissected out by Mr Newhigging on 29th May 1810, at which time it had 



