Recurrent Fibroid Tumours. 565 



reached the dimensions of a child's head. The wound healed up, and the 

 patient remained well for nine mouths, when the tumour reappeared, and 

 had reached the size of two fists by 29th October 1811, when MrEussell 

 excised it. The cicatrix healed up, but in nine months again it grew and 

 increased gradually to the size of the head of a child seven or eight years, 

 old, with the skin over it inflamed, and a dark fungus protruding. It was 

 dissected out hij Mr Allan from among the muscles of the back. It again 

 healed ; but in seven months the tumour reappeared and grew very 

 quickly, so that in two months more it was as big as at the last operation. 

 It had a spongy elastic feeling. The skin at some places was congested 

 over it. It was removed by Mr John Bell, and the patient made a good 

 recovery. He went home till March 1815, when he found the tumour 

 beginning for the fifth time. It grew quickly, and by June 13, 1816, 

 it formed a large pedunculated mass. His health was now impaired.. 

 The tumour was removed by Mr Allan by a ligature gradually tightened, 

 but it returned again early in 1817, and by the 9th of September, when 

 he returned to Edinburgh, the disease formed a mass as follows : — 

 "The tumour was lobulated, and in three divisions; the largest, the 

 size of a quartern loaf ; the second, the size of the head of a full-grown 

 foetus, and the third smaller ; in all, three feet across at the base. 

 From the surface of these there sprung three fungi respectively of the 

 size of a full-sized cauliflower, a fist, and a small apple. He died about 

 the 22nd January 1818 from exhaustion, but without visceral aS'ection, 

 Thus he lived about thirteen years from the first appearance of the 

 tumour, and seven years eight months after the first removal." See 

 Allan's Surgery, vol. i. p. 264. Maclachlan & Stewart, 1821. 



The tumour is somewhat lobulated, of a soft uniform 



texture, with very little fibrous tissue in the interior. It is 



tending to degenerate at numerous points so as to form small 



cysts. G. C. 973. 



9. 62. Larg-e Recurrent Fibroid Tumour without Dis- 

 semination. — Another portion of the foregoing tumour 

 showing similar characteristics. G, C. 973a. 



9. 63. Enormous Recurrent Fibroid Tumour without 



Dissemination. — Plaster of Paris cast of the back of an adult 

 showing an enormous funj^ating tumour. 



