. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Fig. 77.—Molluscum fibrosum of the vulva in a negress. The tumour was removed :it weighed 75 lbs. The tumour had beau growing ten years : after its removalthe patient conceived, and was delivered of twins in the bush. She died ofpuerperal fever. (Figs. 74, 75). Exceptionally the pendulous and nodularlesions occur in the same patient (Fig. 74). In its mildest form molluscum fibrosum appears as asingle pedunculated tumour, a frequent situation being thelabium majus (Fig. 77). 138 GONNEGTIVE-TISSVE TUMOURS The
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Fig. 77.—Molluscum fibrosum of the vulva in a negress. The tumour was removed :it weighed 75 lbs. The tumour had beau growing ten years : after its removalthe patient conceived, and was delivered of twins in the bush. She died ofpuerperal fever. (Figs. 74, 75). Exceptionally the pendulous and nodularlesions occur in the same patient (Fig. 74). In its mildest form molluscum fibrosum appears as asingle pedunculated tumour, a frequent situation being thelabium majus (Fig. 77). 138 GONNEGTIVE-TISSVE TUMOURS The structure of these soHtary tumours is the same as thenodules in the muhiple forms and the pendulous unusual situation is the mammary areola (Fig. 78) or thenipple. When these nodules grow from the nose they areapt to be confounded with the condition commonly buterroneously called lipoma nasi. Concerning the cause of molluscum fibrosum, nothing isknown. The disease is not confined to any climate or race,. /, V /W^.Jc Fig. 78.—Pedunculated molluscum fibrosum from the nipple of a woman.[Museum, Middlesex Hospital.) for it has been observed in North America, the British Isles,India, Germany, and the West Coast of Africa. Under the term pachydermatocele, Mott (1854) describedand figured several examples of the pendulous form of mol-luscum fibrosum which were successfully submitted to opera-tion, and the early volumes of the Transactions of thePathological Society, London, contain descriptions and figuresof this disease under a variety of names. The frontispiiece toVirchows Die Krankhaften Geschwtilste is a representationof a woman with pendulous folds and a multitude ofcutaneous nodules, under the title fibrosum molluscummultiplex. The disease appears to be equally commonin men and in women. SARCOMA OF NERVES 139 An important feature connected with the typical general-ized neuro-fibromatosis is the liability of the patients tosarcoma; this may develop primarily, o
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