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Rh become inconveniently large the diseased tissues should be removed. Instances are on record in which the integuments of the mammæ have become so thickened, heavy, and elongated that the organ has descended to the pubes and even to the knee. One such tumour weighed 21 lb. after removal. Tumours of the labia or of the clitoris, similarly, may attain a great size—8 or 10 lb., or even more.

Fig. 126.—Pedunculated groin elephantiasis. (Photograph by Dr. Daniels.)

Elephantiasis of limited skin areas.—Corney states that pedunculated elephantoid tumours, springing from the groin or from the anterior surface of the thigh, are not uncommon in Fiji. One such tumour which he removed weighed 20 lb. Daniels has seen, both in Fiji and in Demerara, several cases of this description (Fig. 126). Silcock describes a pedunculated tumour of this nature that