and of the left 33 cm. Even thus reduced
the breasts descended almost to the navel. When the woman was not
pregnant they were still less voluminous and seemed to consist of
an immense mass of wrinkled, flaccid skin, traversed by enormous
dilated and varicose blood-vessels, the mammary glands themselves
being almost entirely absent.
Diffuse hypertrophy of the breast is occasionally seen in the
male subject. In one case reported from the Westminster Hospital
in London, a man of sixty, after a violent fall on the chest,
suffered enormous enlargement of the mammae, and afterward
atrophy of the testicle and loss of sexual desire.
The names goiter, struma, and bronchocele are applied
indiscriminately to all tumors of the thyroid gland; there are,
however, several distinct varieties among them that are true
adenoma, which, therefore, deserves a place here. According to
Warren, Wolfler gives the following classification of thyroid
tumors: 1. Hypertrophy of the thyroid gland, which is a
comparatively rare disease; 2. Fetal adenoma, which is a
formation of gland tissue from the remains of fetal structures in
the gland; 3. Gelatinous or interacinous adenoma, which consists
in an enlargement of the acini by an accumulation of colloid
material, and an increase in the interacinous tissue by a growth
of round cells.
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