Modern surgery, general and operative . Fig. 140.—Lipoma, wandered from axilla. Fig. 141.—DiflFuse lipoma. the fibers are excessively abundant, the growth is spoken of as a fibrofattytumor. A fatty tumor has a distinct capsule, tightly adherent to surroundingparts, but loosely attached to the tumor; hence enucleation is easy. Fibroustrabecule run from the capsule of a subcutaneous lipoma to the skin; hencemovement of the integument over the tumor or of the tumor itself causesdimpling of the skin. An ordinary circumscribed lipoma is of doughy soft-ness, is lobulated, of uniform consistence, and


Modern surgery, general and operative . Fig. 140.—Lipoma, wandered from axilla. Fig. 141.—DiflFuse lipoma. the fibers are excessively abundant, the growth is spoken of as a fibrofattytumor. A fatty tumor has a distinct capsule, tightly adherent to surroundingparts, but loosely attached to the tumor; hence enucleation is easy. Fibroustrabecule run from the capsule of a subcutaneous lipoma to the skin; hencemovement of the integument over the tumor or of the tumor itself causesdimpling of the skin. An ordinary circumscribed lipoma is of doughy soft-ness, is lobulated, of uniform consistence, and on being tapped imparts to thefinger a tremor known as pseudofluctuation. A fatty tumor is mobile, althoughit may be attached to the skin at points by trabeculse. Sometimes a fattytimior gradually shifts its position or wanders (Fig. 140). This is due to grav-ity. Lipomata are most frequent in middle life, and their commonest situa-tions are in the subcutaneous tissues, especially of the back or of the dorsalsurfaces of the limbs;


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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery