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A white man, aged 65, a farm laborer, entered the University Hospital because of a foul odor which complicated a large tumor mass hanging from the left gluteal region. The accompanying illustration shows the size and location of the tumor. It had been present fourteen years, beginning as a small growth just beneath the skin.
Physical examination was essentially negative, the only departure from normal being the pupils, which were somewhat sluggish to light, an early senile cataract, and a soft diastolic blow heard over the aortic area.
The tumor was hard and somewhat irregular and had three open ulcers on the posterior and inferior surfaces. The pedicle was soft and pliable and gave no evidence of infiltrating the deeper structures. The mass was excised with a diathermic knife, and wound healing by first intention followed. Gross examination and section showed it to be a lipoma, and that diagnosis was
Hadley MN. PEDUNCULATED LIPOMA OF UNUSUAL SIZE. JAMA. 1933;101(19):1482. doi:10.1001/jama.1933.27430440002012a
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