His family history was negative. He stated
that at an early age he received a stroke of lightning, which
rendered him unconscious for some time. He knows of nothing else
that could be in possible relation with his present condition.
Nine months after this accident there was noticed an enlargement
of the middle joint of the little finger, and about the same time
an enlargement on the middle finger. Gradually all the joints of
the right hand became involved. The enlargement increased so that
at the age of twelve they were of the size of walnuts, and at
this time the patient began to notice the same process developing
in the left hand. The growths continued to develop, new nodules
appearing, until the fingers presented the appearance of
nodulated potatoes.
One of the most frequent of the fibro-cartilaginous tumors is the
"mixed cartilaginous" tumor of Paget, which grows in the
interstitial tissues of the parotid gland, and sometimes attains
enormous size. Matas presented the photograph of a negress having
an enormous fibroma growing from the left parotid region; and
there is a photograph of a similar case in the Mutter Museum of
the College of Physicians, Philadelphia.
The hyaline enchondroma is of slow growth, but may at times
assume immense proportions, as is shown in the accompanying
illustration, given by Warren, of a patient in whom the growth
was in the scapula.
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