The growth had progressively enlarged for eleven years,
and at the time of extirpation hung as an enormous mass from
beneath the left scapula. In operating the tumor had to be swung
on a beam. The hemorrhage was slight and the patient was
discharged in five days.
The true lipoma must be distinguished from diffuse accumulations
of fat in different parts of the body in the same way that
fibroma is distinguished from elephantiasis. Circumscribed lipoma
appears as a lobulated soft tumor, more or less movable, lying
beneath the skin. It sometimes reaches enormous size and assumes
the shape of a pendulous tumor.
Diffuse lipoma, occurring in the neck, often gives the patient a
grotesque and peculiar appearance. It is generally found in men
addicted to the use of alcohol, and occurs between thirty-five
and forty-five years of age; in no case has general obesity been
described. In one of Madelung's cases a large lobe extended
downward over the clavicle. The growth has been found between the
larynx and the pharynx. Black reports a remarkable case of fatty
tumor in a child one year and five months old which filled the
whole abdominal cavity, weighing nine pounds and two ounces.
Chipault mentions a case of lipoma of the parietal region,
observed by Rotter.
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