In 1824 there is quoted the description of a peculiar growth
which, though not definitely described, may be spoken of here. It
was an enormous encysted tumor, springing from the clavicle of a
Veronese nobleman. Contrary to general expectations it was
successfully removed by Portalupi, a surgeon of Venice. It
weighed 57 pounds, being 20 1/2 inches long and 30 inches in
circumference. It is said this tumor followed the reception of a
wound.
Among the benign bone tumors are exostoses--homologous outgrowths
differing from hypertrophies, as they only involve a limited part
of the circumference. When developmental, originating in
childhood, the outgrowths may be found on any part of the
skeleton, and upon many and generally symmetric parts at the same
time, as is shown in Figure 248.
Barwell had a case of a girl with 38 exostoses. Erichsen mentions
a young man of twenty-one with 15 groups of symmetric exostoses
in various portions of the body; they were spongy or cancellous
in nature.
Hartmann shows two cases of multiple exostoses, both in males,
and universally distributed over the body.
Macland of the French navy describes an affection of the bones)
of the face known as anakhre or goundron (gros-nez).
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