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The Brasil-medico, in its March 18 issue, published an article by Dr. Joaquim Moreira da Fonseca, assistant to the Medical Clinic of the Faculty of Medicine of Rio de Janeiro. He says that symmetrical lipomatosis may be general or local (cervical and thoraco-abdominal). The tumors are symmetrical, diffuse, round or oval, varying in size from that of a hen's egg to that of a large orange, painless, soft, movable, nonadherent to the skin and of more or less rapid growth. They are found in the neck, thorax, abdomen and lower limbs, being less common in the thoraco-abdominal region. In the neck the lipomas form a thick collar, giving to the cephalic extremity the appearance of a truncated pyramid with its base at the lower end; in the thoraco-abdominal localization there is a pseudogynecomasty, and in the abdominal region there are four large adipose pendulous tumors separated by a
RIO DE JANIERO. JAMA. 1933;100(23):1879. doi:10.1001/jama.1933.02740230057024
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