Modern surgery, general and operative . Fig. 171.—Lipoma of submaxillary region. Fig. 172.—Congenital diffuse lipomaof foot and leg. Child seven years of age,second and third toes amputated atthirteen months and large mass movedfrom sole of foot. Later a large fattymass moved from calf of leg, surround-ing gastrocnemius and soleus musclesand between them (Rugh), the growth may be progressive or may be at times stationary and at othertimes active. The skin over a fatty tumor sometimes atrophies or evenulcerates; the tumor itself may inflame or partly calcify. When a lipomahas once inflamed, it


Modern surgery, general and operative . Fig. 171.—Lipoma of submaxillary region. Fig. 172.—Congenital diffuse lipomaof foot and leg. Child seven years of age,second and third toes amputated atthirteen months and large mass movedfrom sole of foot. Later a large fattymass moved from calf of leg, surround-ing gastrocnemius and soleus musclesand between them (Rugh), the growth may be progressive or may be at times stationary and at othertimes active. The skin over a fatty tumor sometimes atrophies or evenulcerates; the tumor itself may inflame or partly calcify. When a lipomahas once inflamed, it becomes immovable. Subcutaneous lipoma of thepalm of the hand or sole of the foot bears some resemblance clinically toa compound ganglion;, it is apt to be congenital. Lipomata of the head andface are rare. In the subcutaneous tissues of the groins, neck, pubes, axilla?,or scrotum a mass of fat may form, unlimited by a capsule and known as adiffuse lipoma (Figs. 170 and 172). A diffuse lipoma may dip down amongthe muscles. Such mas


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