. The diseases of children : medical and surgical. .S D 770 Tumour Growth in Childhood tumour growing from beneath the coccyx, and forming a somewhat pendulous masshanging from the perinEeum. The cyst was thin-walled, and about the size of the childshead. A day or two after admission the cyst burst, and gave exit to about half a pint ofclear yellow fluid—practically serum. We removed the collapsed cyst by incision, andfound a fine channel running up into the pelvis for about \h inch. The child did well,and was sent out with the wound nearly healed in March 1889. Sections of the wall ofthe cyst
. The diseases of children : medical and surgical. .S D 770 Tumour Growth in Childhood tumour growing from beneath the coccyx, and forming a somewhat pendulous masshanging from the perinEeum. The cyst was thin-walled, and about the size of the childshead. A day or two after admission the cyst burst, and gave exit to about half a pint ofclear yellow fluid—practically serum. We removed the collapsed cyst by incision, andfound a fine channel running up into the pelvis for about \h inch. The child did well,and was sent out with the wound nearly healed in March 1889. Sections of the wall ofthe cyst showed a distinctly villous lining, with a single layer of somewhat indistinctroundish cells. Vide also chapter on Malformation of the Digestive Apparatus. An important group of tumours in childhood is formed by the fattygroivths often met with. There may be simple general obesity or hyper-trophy of fat, a condition often met with in our experience in associationwith malformations such as club-foot, spina bifida, giant foot, &c.^ Jacobi,^. Fig. 198.—Dermoid Cyst in the Lachrymal Fissure. A tooth is seengrowing at the upper part of the tumour. Prof. Youngs case. who has collected many of the cases on record of hypertrophy of theextremities, attributes the condition to intra-uterine venous congestion ^ inearly fcetal life ; if, however, this occurs before the first half of intra-uterinelife, during which no fat is said to be formed, myxomatous tissue is developed ;if in the later stages, fatty tissue. Lipoma may occur in any part of the body ; it is, however, rarely metwith in the head. Congenital lipomata are often not encapsuled ; they aresometimes associated with naevus, as in fig. 85 (nsvus lipomatodes), or, as 1 The cervical fatty growths met with in cretins are also noteworthy in this connection. 2 Archives of Pediatrics, February 1884. Jacobis list contains obviously very differentpathological conditions. Also Bland Sutton, Brit. Med. Jour. vol. i. 1890, p. 877. Busey
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