H. S. Stannus 
IS 
(d) Adult male, the accessory nipple is situated in a line witii the left nipple 
below it and half-way between it and the costal margin. 
(e) and (/) Two women each had two nipples to the right breast. 
(g) A young woman was found to have two nipples on the left breast 
(Plate V, (18)). 
(h) Male with congenital coloboma iridis mentioned above has an accessory 
nipple just above and to the inner side of the right nipple. 
(i) Young male adult has just at the outer edge of the areola of the left 
breast a very small accessory nipple, and beyond this and above it over the third 
intercostal space another flat nipple with areola and hairs. 
(j) Male, presents a rudimentary nipple in the left groin just below the 
middle of Poupart's ligament. 
(k) Young adult male shews a small accessory nipple just below and internal 
to the right nipple ; his brother, father, and grandfather are all possessed of the 
same identical anomaly. The subject has no children, no nephews or nieces. 
(I) Female in hospital with syphilis has a small accessory nipple springing 
from the skin of the chest wall just intei-nal to the point of the left pendant 
breast. 
(m) A woman with well-formed accessory breast in the right axilla. It is 
breast-shaped and pendant though there is no nipple. The woman volunteered 
the fact that it was a breast and said it swelled with pregnancy. The right breast 
was twice as big as the left. 
(n) An old woman with symmetrical masses in each axilla resembling rather 
the symmetrical lipomata mentioned elsewhere : see p. 6. She states that they 
appeared at puberty and thinks them to be breasts but denies that they enlarged 
with pregnancy. 
In the Japanese this condition has been shewn to be not unrare, and among 
them tuberculosis has been found to be more frequent than among the normal 
population. I can only support the idea with one case (No. 6). 
(17) Meningocoele and Spina Bifida. No typical case has been noted. A man 
was seen with a little dipple of the skin over the lower part of the sacrum in the 
median line having a little fold of skin on either side forming two small vertical 
lips. 
(18) Penis, Testicle; Hernia. 
Epispadias, hypospadias and extroversion of the bladder have never been seen. 
I have seen a boy aged 18 years with a short penis enclosed in a fold of skin 
from the upper surface of the scrotum (Fig. 10). The boy had other deformities 
which are described later. When examining a number of recruits I was surprised 
to find in a large proportion the right testicle hanging lower than the left, the 
