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LIPOMA OF THE TONGUE
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997
CLINICAL AND LABORATORY NOTES LIPOMA OF THE TONGUE BY MILROY
PAUL, M.S. Lond., M.R.C.P., F.R.C.S.
PROFESSOR OF SURGERY IN THE CEYLON MEDICAL COLLEGE ; SURGEON TO THE GENERAL HOSPITAL, COLOMBO
AND
XBD=1311XHG=846 XBD=402 XBD=471 XBD=563 XBD=730 XBD=820 XBD=929 XBD=1105 XBD=1172 XHG=235 XHG=432 XHG=496 XHG=589 XHG=758 XHG=956YBD=777 XHG=1132 XHG=1200 YBD=775 YBD=774 YBD=785 YBD=776 YBD=785 YBD=776YHG=754>rare YBD=777 YHG=744>LIPOMAS YHG=743>of YHG=742>the YHG=744>tongue YHG=753>are YHG=743>enough YHG=745>to YHG=744>merit XBD=391 XHG=774 XBD=555 XBD=655 XBD=753 XBD=892 XBD=1101 XBD=1147 XBD=1312 XHG=194 XHG=412 XHG=578 XHG=676 XHG=916YBD=832 XHG=1124 XHG=1169 YBD=828 YBD=821 YBD=822 YBD=823 YBD=821YHG=800>paper YBD=832 YHG=788>individual YHG=789>record, YHG=789>and YHG=789>this YHG=790>describes YHG=800>a YHG=790>typical XBD=362 XHG=858 XBD=575 XBD=687 XBD=822 XBD=981 XBD=1168 XBD=1310 XHG=194 XHG=415 XHG=611 XHG=721 XHG=1018YBD=877 XHG=1202 YBD=876 YBD=867 YBD=869 YBD=877YHG=838>(1931) YBD=869 YHG=836>example. YHG=834>Spencer YHG=836>and YHG=837>Cade YHG=836>classify YHG=836>them XBD=304 XHG=763 XBD=411 XBD=641 XBD=736 XBD=878 XBD=1115 XBD=1312 XHG=196 XHG=328 XHG=435 XHG=685 XHG=905YBD=924 XHG=1139 YBD=915 YBD=913 YBD=923 YBD=923 YBD=915YHG=883>single YHG=882>under YHG=881>four YHG=880>headings YHG=884>(1) YHG=882>superficial YHG=884>tumours: XBD=337 XHG=946 XBD=399 XBD=577 XBD=906 XBD=998 XBD=1311 XHG=193 XHG=359 XHG=424 XHG=599 XHG=1022YBD=969 YBD=959 YBD=960 YBD=961YHG=930>(2) YHG=928>tending YHG=928>to YHG=927>become YHG=927>pedunculated YHG=928>intermuscular ; XBD=420 XHG=791 XBD=652 XBD=756 XBD=964 XBD=1185 XBD=1311 XHG=194 XHG=453 XHG=704 XHG=999YBD=1015 XHG=1234 YBD=1013 YBD=1015 YBD=1007YHG=974>multiple YHG=973>deep-seated YHG=975>tumours; YHG=976>(3) YHG=974>lipomas; YHG=974>and XBD=238 XHG=398 XBD=383 XBD=567 XHG=194 YBD=1060 XHG=256 YBD=1064 YHG=1019>lipomas. YBD=1053 YHG=1023>(4) YHG=1020>diffuse
" XBD=1310 XBD=305 XHG=883 XBD=436 XBD=663 XBD=820 XBD=864 XBD=949 XBD=1061 XBD=1183 XHG=234 XHG=325 XHG=455 XHG=683 XHG=832 XHG=969YBD=1113 XHG=1081 XHG=1203 YBD=1119 YBD=1120 YBD=1112 YBD=1120 YBD=1112YHG=1081>the YBD=1113 YHG=1082>The YHG=1080>single YHG=1080>superficial YHG=1081>lipoma YHG=1081>is YHG=1081>type YHG=1082>most YHG=1081>often " XBD=1307 XBD=365 XHG=904 XBD=574 XBD=718 XBD=787 XBD=877 XBD=984 XBD=1050 XBD=1141 XHG=190 XHG=416 XHG=598 XHG=744 XHG=811 XHG=1012YBD=1153 XHG=1074 XHG=1166 YBD=1155 YBD=1161 YBD=1153YHG=1122>side YBD=1162 YHG=1123>recorded. YHG=1122>Usually YHG=1122>found YHG=1123>at YHG=1123>the YHG=1123>of YHG=1123>the YHG=1122>tongue ""|>"XBD=1309 XBD=271 XBD=335 XBD=420 XBD=470 XBD=604 XBD=645 XBD=942 XBD=1061 XBD=1237 XHG=192 XHG=286 XHG=350 XHG=437 XHG=486 XHG=621 XHG=662 XHG=960 XHG=1081 XHG=1256 YBD=1196 YBD=1194 YBD=1202 YBD=1194 YBD=1194 YBD=1203 YHG=1174>near YHG=1163>its YHG=1163>tip, YHG=1163>it YHG=1163>forms YHG=1174>a YHG=1163>pedunculated YHG=1173>mass YHG=1164>covered YHG=1164>by XBD=1522 XBD=1833 XBD=1934 XBD=2107 XBD=2229 XBD=2279 XBD=1678 XHG=1441 XHG=1699 XHG=1849 XHG=1952 XHG=2140 XHG=2248 XHG=2305 XHG=1541 YBD=1222 YBD=1223 YBD=1224 YBD=1224 YHG=1198>FIG. YHG=1199>tumour YHG=1197>after YHG=1198>removal. YHG=1198>Scale YHG=1198>in YHG=1197>inches. YHG=1199>2-The " XBD=2425 XBD=333 XBD=595 XBD=771 XBD=847 XBD=1033 XBD=1144 XBD=1308 XHG=191 XHG=366 XHG=633 XHG=809 XHG=882 XHG=1067 XHG=1183 YBD=1237 YBD=1241 YBD=1236 YBD=1235 YBD=1244 YBD=1236 YHG=1214>mucous YHG=1205>membrane, YHG=1204>devoid YHG=1205>of YHG=1204>papillae YHG=1205>and YHG=1214>conse" XBD=1309 XBD=336 XHG=704 XBD=515 XBD=598 XBD=686 XBD=769 XBD=1022 XBD=1120 XBD=1209 XBD=1268 XHG=193 XHG=354 XHG=561 XHG=616 XHG=791YBD=1277 XHG=1042 XHG=1137 XHG=1228 XHG=1284 YBD=1286 YBD=1276 YBD=1277 YBD=1276YHG=1246>the YBD=1277 YHG=1246>quently YHG=1246>smooth. YHG=1246>It YHG=1246>has YHG=1245>consistence YHG=1246>and YHG=1246>feel YHG=1245>of YHG=1256>a XBD=1500XHG=837 XBD=1602 XBD=1773 XBD=2057 XBD=2253 XBD=2305 XBD=2503 XHG=1369YBD=1318 XHG=1526 XHG=1627 XHG=1802 XHG=2084 XHG=2282 XHG=2334 YBD=1317YHG=1287>colour YBD=1309 YBD=1308 YBD=1310 YHG=1276>needle YHG=1276>will YHG=1275>readily YHG=1276>differentiate YHG=1276>between YHG=1286>a YHG=1275>dermoid "" XBD=1309 XBD=283 XBD=465 XBD=567 XBD=655 XBD=812 XBD=963 XBD=1026 XBD=1113 XBD=1196 XHG=190 XHG=303 XHG=489 XHG=588 XHG=679 XHG=987 XHG=1047 XHG=1136 XHG=1217 YBD=1323 YBD=1326 YBD=1319 YBD=1318 YBD=1327 YHG=1288>fatty YHG=1288>tumour, YHG=1288>and YHG=1287>the YHG=1287>yellow YHG=1287>of YHG=1286>the YHG=1286>fat YHG=1296>may " XBD=1766 XBD=1454 XBD=1552 XBD=1595 XHG=1370 XHG=1475 XHG=1572 XHG=1614 YBD=1365 YBD=1355 YBD=1354 YBD=1364 YHG=1324>cyst YHG=1323>and YHG=1332>a YHG=1322>lipoma. XBD=231 XHG=801 XBD=330 XBD=488 XBD=682 XBD=773 XBD=958 XBD=1216 XBD=1309 XHG=192 XHG=257 XHG=356 XHG=514 XHG=707 XHG=985YBD=1359 XHG=1271 YBD=1361 YBD=1367 YBD=1368 YBD=1360 YBD=1359YHG=1338>mucous YHG=1331>be YHG=1329>just YHG=1328>visible YHG=1328>through YHG=1329>the YHG=1329>membrane. YHG=1328>It XBD=297 XHG=854 XBD=443 XBD=540 XBD=705 XBD=835 XBD=946 XBD=1090 XBD=1237 XBD=1309 XHG=191 XHG=317 XHG=462 XHG=562 XHG=725 XHG=965YBD=1408 XHG=1112 XHG=1257 YBD=1410 YBD=1409 YBD=1401 YBD=1408 YBD=1400YHG=1379>may YHG=1379>grows YHG=1370>slowly YHG=1371>and YHG=1370>several YHG=1379>years YHG=1370>elapse YHG=1369>before YHG=1368>its " XBD=2500 XBD=1468 XBD=1580 XBD=1709 XBD=1859 XBD=2044 XBD=2247 XBD=2334 XHG=1414 XHG=1486 XHG=1600 XHG=1729 XHG=1878 XHG=2063 XHG=2267 XHG=2352 YBD=1402 YBD=1411 YBD=1407 YBD=1401 YBD=1410 YHG=1369>As YHG=1368>with YHG=1369>other YHG=1369>slowly YHG=1369>growing YHG=1370>tumours, YHG=1369>the YHG=1369>patient " XBD=1119 XBD=274 XBD=483 XBD=600 XBD=758 XBD=856 XHG=192 XHG=292 XHG=504 XHG=622 XHG=879 YBD=1442 YBD=1443 YBD=1450 YBD=1449 YHG=1411>bulk YHG=1410>interferes YHG=1410>with YHG=1412>speech YHG=1410>swallowing. XBD=1400XHG=779 XBD=1613 XBD=1679 XBD=1802 XBD=1858 XBD=2074 XBD=2177 XBD=2275 XBD=2405 XBD=2501 XHG=1367YBD=1441 XHG=1424 XHG=1638 XHG=1704 XHG=1826 XHG=1882 XHG=2101 XHG=2199 XHG=2299 XHG=2428 YBD=1447YHG=1411>and YBD=1454 YBD=1448 YBD=1457 YHG=1414>is YHG=1415>reluctant YHG=1416>to YHG=1414>have YHG=1415>it YHG=1415>removed, YHG=1415>and YHG=1415>will YHG=1415>often YHG=1417>put
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XBD=1306 XBD=302 XBD=550 XBD=736 XBD=826 XBD=927 XBD=1065 XBD=1171 XHG=232 XHG=331 XHG=579 XHG=763 XHG=956 XHG=1091 XHG=1198 YBD=1500 YBD=1499 YBD=1491 YBD=1491 YBD=1490 YBD=1491 YHG=1460>The YHG=1460>deep-seated YHG=1459>lipomas YHG=1469>are YHG=1459>often YHG=1458>met YHG=1457>with. XBD=1422XHG=855 XBD=1547 XBD=1644 XBD=1963 XBD=2034 XBD=2129 XBD=2260 XBD=2350 XBD=2497 XHG=1371YBD=1490 XHG=1453 XHG=1578 XHG=1674 XHG=1993 XHG=2062 XHG=2160 XHG=2289 XHG=2380 YBD=1502YHG=1459>less YBD=1493 YBD=1494 YBD=1504 YHG=1470>up YHG=1460>with YHG=1461>inconvenience YHG=1461>of YHG=1461>the YHG=1471>mass YHG=1461>for YHG=1471>many XBD=285 XBD=364 XBD=483 XBD=594 XBD=755 XHG=192 XHG=300 XHG=382 XHG=501 YBD=1532 YBD=1541 YHG=1502>They YHG=1501>too YHG=1511>grow YHG=1511>very XBD=1487XHG=613 XBD=1824 XBD=2026 XBD=2119 XBD=2294 XBD=2503 XHG=1366YBD=1540 XHG=1537 XHG=1853 XHG=2057 XHG=2148 XHG=2322 YBD=1548YHG=1501>slowly. YBD=1540 YBD=1550 YBD=1541 YHG=1517>years. YHG=1507>Pedunculated YHG=1509>tumours YHG=1518>are YHG=1508>readily YHG=1508>removed XBD=302 XBD=485 XBD=681 XBD=764 XBD=1027 XBD=1186 XBD=1305 XHG=232 XHG=323 XHG=507 XHG=785 XHG=1074 XHG=1205 YBD=1581 YBD=1589 YBD=1581 YBD=1580 YHG=1550>The YHG=1550>multiple YHG=1550>lipomata YHG=1559>uncommon. YHG=1549>Cases YHG=1549>have XBD=1419XHG=701 XBD=1619 XBD=1697 XBD=1833 XBD=2042 XBD=2173 XBD=2501 XHG=1366YBD=1580 XHG=1458 XHG=1657 XHG=1733 XHG=1868 XHG=2094 XHG=2210 YBD=1586YHG=1559>are YBD=1595 YBD=1587 YBD=1588 YHG=1553>by YHG=1554>division YHG=1554>of YHG=1553>their YHG=1554>pedicles. YHG=1554>The YHG=1555>intermuscular XBD=275 XBD=487 XBD=569 XBD=755 XBD=881 XBD=1107 XBD=1301 XHG=191 XHG=298 XHG=516 XHG=597 XHG=780 XHG=910 XHG=1134 YBD=1623 YBD=1630 YBD=1622 YBD=1628 YBD=1628 YBD=1629 YHG=1592>been YHG=1591>described YHG=1592>by YHG=1590>Warren YHG=1591>Low, YHG=1590>Cauchois, YHG=1590>Barling, XBD=1525 XBD=1612 XBD=1676 XBD=1835 XBD=1918 XBD=1976 XBD=2089 XBD=2208 XHG=1365 XHG=1542 XHG=1629 XHG=1693 XHG=1851 XHG=1936 XHG=1990 XHG=2105 YBD=1641 YBD=1632 YBD=1633 YBD=1635 YHG=1599>lipomas YHG=1610>can YHG=1600>be YHG=1600>shelled YHG=1601>out YHG=1600>of YHG=1600>their YHG=1600>beds. XBD=258 XHG=275 XBD=467 XHG=192 YBD=1664 YBD=1663 YHG=1632>Chevasse. YHG=1632>and XBD=2498 XHG=2431 XBD=1447 XBD=1577 XBD=1830 XBD=1905 XBD=1985 XBD=2097 XBD=2321 XBD=2398 XHG=1412 YBD=1688 XHG=1479 XHG=1614 XHG=1867 XHG=1941 XHG=2019 XHG=2131 XHG=2355 YBD=1695 YHG=1656>the YBD=1687 YBD=1689 YHG=1656>A YHG=1656>male YHG=1656>Singhalese YHG=1656>of YHG=1657>43 YHG=1666>was YHG=1656>admitted YHG=1656>to XBD=367 XBD=626 XBD=699 XBD=797 XBD=974 XBD=1040 XBD=1305 XHG=231 XHG=401 XHG=660 XHG=731 XHG=832 XHG=1007 XHG=1075 YBD=1719 YBD=1720 YBD=1711 YBD=1718 YBD=1711 YBD=1718 YHG=1670>Diffuse YHG=1680>lipomatosis YHG=1680>of YHG=1679>the YHG=1679>tongue YHG=1679>is YHG=1679>excessively XBD=1524 XBD=1741 XBD=1954 XBD=2031 XBD=2162 XBD=2294 XBD=2424 XBD=2498 XHG=1367 XHG=1551 XHG=1764 XHG=1981 XHG=2058 XHG=2192 XHG=2320 XHG=2448 YBD=1736 YBD=1734 YBD=1728 YBD=1737 YBD=1735 YBD=1729 YHG=1697>General YHG=1697>Hospital, YHG=1697>Colombo, YHG=1697>Sept. YHG=1697>14th, YHG=1698>1937, YHG=1707>on XBD=273 XBD=451 XBD=554 XBD=604 XBD=765 XBD=837 XBD=905 XBD=1078 XHG=192 XHG=311 XHG=471 XHG=572 XHG=625 XHG=784 XHG=920 YBD=1753 YBD=1752 YBD=1761 YBD=1760 YBD=1753 YHG=1731>rare. YHG=1722>Bond’s YHG=1731>case YHG=1722>is YHG=1721>quoted YHG=1722>by YHG=1720>writers. XBD=1526XHG=853 XBD=1590 XBD=1636 XBD=1814 XBD=2004 XBD=2125 XBD=2209 XBD=2386 XBD=2494 XHG=1363YBD=1751 XHG=1551 XHG=1613 XHG=1659 XHG=1839 XHG=2026 XHG=2148 XHG=2230 XHG=2435 YBD=1769YHG=1720>all YBD=1770 YBD=1778 YBD=1771 YHG=1738>account YHG=1738>of YHG=1748>a YHG=1738>tumour YHG=1739>growing YHG=1738>from YHG=1739>his YHG=1739>tongue. YHG=1739>He XBD=1563XHG=840 XBD=1732 XBD=1844 XBD=1921 XBD=2076 XBD=2164 XBD=2222 XBD=2306 XBD=2494 XHG=1364YBD=1817 XHG=1582 XHG=1749 XHG=1862 XHG=1940 XHG=2093 XHG=2183 XHG=2240 XHG=2326 YBD=1819YHG=1784>chronic YBD=1812 YBD=1811 YBD=1813 YHG=1779>presented YHG=1780>himself YHG=1780>with YHG=1781>his YHG=1780>mouth YHG=1780>full YHG=1780>of YHG=1780>the YHG=1780>tumour. XBD=302 XBD=420 XBD=599 XBD=806 XBD=990 XBD=1304 XHG=232 XHG=332 XHG=450 XHG=632 XHG=1021 YBD=1818 YBD=1827 YBD=1819 YBD=1826 YHG=1784>The YHG=1785>long YHG=1785>history YHG=1785>excludes YHG=1785>inflammatory
"" XBD=2494 XBD=1426 XBD=1553 XBD=1684 XBD=1804 XBD=1896 XBD=1977 XBD=2146 XBD=2210 XBD=2434 XHG=1367 XHG=1440 XHG=1567 XHG=1699 XHG=1819 XHG=1911 XHG=1992 XHG=2162 XHG=2227 XHG=2449 YBD=1852 YBD=1860 YBD=1854 YBD=1855 YBD=1859 YBD=1861 YBD=1853 YHG=1820>On YHG=1820>being YHG=1822>asked YHG=1821>what YHG=1831>was YHG=1822>the YHG=1821>matter, YHG=1823>he YHG=1822>proceeded YHG=1821>to XBD=309 XHG=783 XBD=426 XBD=494 XBD=687 XBD=757 XBD=992 XBD=1185 XBD=1304 XHG=196 XHG=335 XHG=453 XHG=519 XHG=715 XHG=1018YBD=1873 XHG=1211 YBD=1865 YBD=1874 YBD=1864 YBD=1873YHG=1832>malignant YBD=1864 YHG=1832>lesions YHG=1832>such YHG=1842>as YHG=1842>gumma, YHG=1842>or YHG=1832>growths YHG=1831>such "" XBD=2493 XBD=1513 XBD=1573 XBD=1699 XBD=1784 XBD=1946 XBD=2158 XBD=2323 XHG=1362 XHG=1540 XHG=1600 XHG=1725 XHG=1810 XHG=1974 XHG=2185 XHG=2349 YBD=1893 YBD=1902 YBD=1901 YBD=1894 YHG=1871>remove YHG=1862>it YHG=1863>from YHG=1862>his YHG=1863>mouth YHG=1862>digitally, YHG=1862>taking YHG=1862>several XBD=230 XBD=409 XBD=499 XBD=580 XBD=730 XBD=874 XBD=931 XBD=1013 XBD=1087 XBD=1153 XBD=1302 XHG=200 XHG=242 XHG=462 XHG=513 XHG=596 XHG=748 XHG=892 XHG=947 XHG=1030 XHG=1105 XHG=1170 YBD=1910 YBD=1912 YBD=1920 YBD=1911 YBD=1910 YBD=1910 YBD=1911 YHG=1887>as YHG=1888>sarcoma. YHG=1879>If YHG=1878>the YHG=1878>yellow YHG=1878>colour YHG=1879>of YHG=1878>the YHG=1878>fat YHG=1878>be YHG=1877>visible "" XBD=2492 XBD=1528 XBD=1602 XBD=1684 XBD=1768 XBD=1878 XBD=2063 XBD=2185 XBD=2332 XBD=2436 XHG=1363 XHG=1558 XHG=1633 XHG=1715 XHG=1801 XHG=1908 XHG=2093 XHG=2216 XHG=2360 XHG=2467 YBD=1941 YBD=1943 YBD=1934 YBD=1935 YHG=1902>minutes YHG=1903>to YHG=1904>do YHG=1913>so, YHG=1904>and YHG=1904>looking YHG=1914>very YHG=1904>much YHG=1904>like YHG=1913>a XBD=335 XBD=421 XBD=600 XBD=850 XBD=899 XBD=1020 XBD=1249 XBD=1304 XHG=197 XHG=356 XHG=444 XHG=623 XHG=875 XHG=923 XHG=1043 XHG=1271 YBD=1966 YBD=1956 YBD=1963 YBD=1957 YBD=1957 YBD=1957 YBD=1956 YHG=1923>through YHG=1924>the YHG=1934>mucous YHG=1924>membrane, YHG=1934>a YHG=1924>clear YHG=1924>indication YHG=1924>is "" XBD=2492 XBD=1536 XBD=1691 XBD=1921 XBD=2102 XBD=2189 XBD=2247 XBD=2325 XHG=1365 XHG=1552 XHG=1708 XHG=1939 XHG=2120 XHG=2208 XHG=2265 XHG=2342 YBD=1983 YBD=1984 YBD=1976 YBD=1977 YHG=1944>conjurer YHG=1944>taking YHG=1945>something YHG=1945>unusual YHG=1945>out YHG=1945>of YHG=1944>his YHG=1944>mouth. XBD=354 XBD=424 XBD=521 XBD=688 XBD=760 XBD=856 XBD=1053 XBD=1185 XBD=1302 XHG=202 XHG=385 XHG=454 XHG=552 XHG=721 XHG=790 XHG=888 XHG=1105 XHG=1217 YBD=2002 YBD=2003 YBD=2004 YBD=2002 YHG=1969>obtained YHG=1970>of YHG=1970>the YHG=1972>nature YHG=1971>of YHG=1971>the YHG=1972>tumour. YHG=1970>The " XBD=2493 XBD=1441 XHG=2340 XBD=1613 XBD=1706 XBD=1842 XBD=1923 XBD=2014 XBD=2072 XBD=2111 XBD=2322 XHG=1362 YBD=2024 XHG=1458 XHG=1628 XHG=1722 XHG=1857 XHG=1941 XHG=2033 XHG=2087 XHG=2126 YBD=2016 YHG=1980>conYBD=2018 YBD=2017 YBD=2025 YHG=1985>The YHG=1985>tumour YHG=1995>was YHG=1986>about YHG=1986>the YHG=1986>size YHG=1986>of YHG=1995>a YHG=1986>tangerine YHG=1995>orange, " XBD=2492 XBD=314 XHG=760 XBD=577 XBD=643 XBD=734 XBD=901 XBD=1075 XBD=1254 XBD=1303 XHG=199 XHG=339 XHG=604 XHG=668 XHG=926YBD=2059 XHG=1102 XHG=1280 YBD=2057 YBD=2058 YBD=2049 YBD=2058 YBD=2049YHG=2018>tongue YBD=2048 YHG=2016>genital YHG=2016>embryomas YHG=2017>of YHG=2016>the YHG=2017>usually YHG=2017>contain YHG=2026>a XBD=1542 XBD=1612 XBD=1651 XBD=1809 XBD=1868 XBD=1949 XBD=2035 XBD=2199 XBD=2252 XBD=2334 XHG=1361 XHG=1559 XHG=1627 XHG=1667 XHG=1825 XHG=1883 XHG=1965 XHG=2050 XHG=2213 XHG=2267 XHG=2350 YBD=2057 YBD=2058 YBD=2059 YBD=2066 YHG=2025>attached YHG=2026>by YHG=2037>a YHG=2027>pedicle YHG=2028>to YHG=2027>left YHG=2027>margin YHG=2027>of YHG=2027>the YHG=2027>tongue XBD=277 XHG=891 XBD=389 XBD=460 XBD=595 XBD=756 XBD=859 XBD=931 XBD=1069 XBD=1203 XBD=1302 XHG=197 XHG=307 XHG=422 XHG=491 XHG=627 XHG=789 XHG=963YBD=2096 XHG=1102 XHG=1235 YBD=2103 YBD=2095 YBD=2094 YBD=2104 YBD=2102 YBD=2097 YBD=2096 YBD=2095YHG=2064>in YBD=2096 YHG=2063>good YHG=2063>deal YHG=2063>of YHG=2063>fatty YHG=2064>tissue, YHG=2064>but YHG=2064>these YHG=2073>cases YHG=2062>the " XBD=2494 XBD=1453 XBD=1530 XBD=1613 XBD=1738 XBD=1817 XBD=1908 XBD=2010 XBD=2195 XBD=2316 XHG=1363 XHG=1478 XHG=1553 XHG=1645 XHG=1768 XHG=1869 XHG=1932 XHG=2038 XHG=2220 XHG=2341 YBD=2107 YBD=2100 YBD=2101 YBD=2099 YHG=2077>near YHG=2068>its YHG=2068>tip YHG=2068>(Fig. YHG=2070>1). YHG=2069>It YHG=2078>was YHG=2069>covered YHG=2068>with YHG=2067>smooth "|>"XBD=2493 XBD=1520 XBD=1756 XBD=1914 XBD=1974 XBD=2252 XBD=2377 XBD=2153 XHG=1363 XHG=1539 XHG=1776 XHG=1935 XHG=2174 XHG=2270 XHG=2396 XHG=1993 YBD=2141 YBD=2140 YBD=2142 YBD=2149 YHG=2119>mucous YHG=2110>membrane YHG=2110>devoid YHG=2110>of YHG=2110>and YHG=2109>there YHG=2118>were YHG=2109>papillae, XBD=325 XBD=415 XBD=527 XBD=640 XBD=774 XBD=831 XBD=961 XBD=1091 XBD=1303 XHG=195 XHG=341 XHG=430 XHG=544 XHG=656 XHG=791 XHG=848 XHG=1013 XHG=1109 YBD=2141 YBD=2142 YBD=2144 YBD=2151 YHG=2109>tumour YHG=2109>will YHG=2109>have YHG=2110>been YHG=2110>noted YHG=2112>at YHG=2110>birth. YHG=2110>The YHG=2109>exploring " XBD=2493 XBD=1507 XHG=2261 XBD=1744 XBD=1887 XBD=1963 XBD=2053 XBD=2236 XHG=1364 YBD=2182 XHG=1533 XHG=1767 XHG=1914 XHG=1987 XHG=2079 YBD=2189 YHG=2151>membrane. YBD=2181 YHG=2150>several YHG=2150>superficial YHG=2151>ulcers YHG=2161>on YHG=2151>the YHG=2160>mucous " XBD=2496 XBD=1441 XHG=2451 XBD=1617 XBD=1716 XBD=1815 XBD=1912 XBD=1998 XBD=2172 XBD=2269 XBD=2430 XHG=1364 YBD=2223 XHG=1463 XHG=1638 XHG=1738 XHG=1835 XHG=1933 XHG=2022 XHG=2191 XHG=2290 YBD=2230 YHG=2190>to YBD=2222 YHG=2191>The YHG=2191>tumour YHG=2192>soft YHG=2192>and YHG=2192>the YHG=2191>patient YHG=2201>was YHG=2191>unable " XBD=2493 XBD=1562 XHG=2427 XBD=1720 XBD=1896 XBD=1966 XBD=2078 XBD=2297 XBD=2410 XHG=1362 YBD=2263 XHG=1583 XHG=1739 XHG=1914 XHG=1985 XHG=2095 XHG=2314 YBD=2271 YHG=2232>the YBD=2264 YHG=2232>articulate YHG=2233>clearly YHG=2233>because YHG=2233>its YHG=2233>bulk YHG=2232>interfered YHG=2232>with " XBD=2493 XBD=1599 XHG=2344 XBD=1667 XBD=1759 XBD=1928 XBD=2034 XBD=2155 XBD=2223 XBD=2315 XHG=1363 YBD=2305 XHG=1628 XHG=1693 XHG=1786 XHG=1956 XHG=2063 XHG=2184 XHG=2249 YBD=2313 YHG=2273>mouth. YBD=2304 YHG=2273>movements YHG=2274>of YHG=2274>the YHG=2274>tongue YHG=2274>and YHG=2274>floor YHG=2273>of YHG=2273>the " XBD=2494 XBD=1422 XHG=2433 XBD=1517 XBD=1577 XBD=1754 XBD=1836 XBD=1993 XBD=2050 XBD=2132 XBD=2305 XBD=2418 XHG=1364 YBD=2346 XHG=1440 XHG=1535 XHG=1596 XHG=1770 XHG=1854 XHG=2012 XHG=2067 XHG=2150 XHG=2322 YBD=2354 YHG=2314>his YBD=2353 YBD=2345 YBD=2347 YHG=2314>He YHG=2315>had YHG=2315>to YHG=2315>support YHG=2315>weight YHG=2314>of YHG=2315>the YHG=2314>tumour YHG=2314>with " XBD=2322 XBD=2493 XHG=2344 XBD=1478 XBD=1611 XBD=1663 XBD=1761 XBD=1880 XBD=2088 XBD=2180 XBD=2241 XHG=1361 YBD=2388 XHG=1500 XHG=1630 XHG=1684 XHG=1783 XHG=1901 XHG=2112 XHG=2203 XHG=2263 YBD=2393 YHG=2355>mouth. YBD=2386 YBD=2387 YHG=2356>hand, YHG=2357>when YHG=2356>it YHG=2356>had YHG=2357>been YHG=2356>delivered YHG=2356>out YHG=2356>of YHG=2356>his " XBD=2495 XBD=1422 XHG=2296 XBD=1530 XBD=1733 XBD=1947 XBD=2006 XBD=2097 XBD=2147 XBD=2276 XBD=2397 XHG=2415 YBD=2428 XHG=1363 XHG=1440 XHG=1549 XHG=1753 XHG=1964 XHG=2025 XHG=2114 XHG=2166 YBD=2436 YHG=2397>this YBD=2427 YBD=2435 YHG=2397>He YHG=2407>was, YHG=2398>however, YHG=2397>unwilling YHG=2397>to YHG=2397>put YHG=2397>it YHG=2397>back, YHG=2397>since " XBD=2494 XBD=1439 XHG=2450 XBD=1478 XBD=1714 XBD=1770 XBD=1888 XBD=2102 XBD=2197 XBD=2260 XBD=2434 XHG=1362 YBD=2469 XHG=1455 XHG=1494 XHG=1732 XHG=1786 XHG=1905 XHG=2119 XHG=2212 XHG=2277 YBD=2471 YHG=2437>to YBD=2476 YBD=2468 YHG=2448>was YHG=2448>a YHG=2448>manoeuvre YHG=2439>of YHG=2447>some YHG=2437>difficulty, YHG=2438>and YHG=2438>he YHG=2439>decided
" XBD=2346 XBD=2494 XHG=2365 XBD=1456 XBD=1507 XBD=1692 XBD=1857 XBD=1936 XBD=1984 XBD=2079 XBD=2273 XHG=1362 YBD=2519 XHG=1475 XHG=1525 XHG=1710 XHG=1875 XHG=1951 XHG=2000 XHG=2096 XHG=2293 YBD=2509 YHG=2488>operaYBD=2511 YBD=2510 YBD=2518 YHG=2480>keep YHG=2479>it YHG=2479>hanging YHG=2479>outside YHG=2479>till YHG=2478>it YHG=2488>was YHG=2479>removed YHG=2480>by " XBD=2495 XBD=1457 XHG=2369 XBD=1539 XBD=1707 XBD=1806 XBD=1898 XBD=2010 XBD=2074 XBD=2200 XBD=2348 XBD=2412 XHG=2434 YBD=2550 XHG=1360 XHG=1504 XHG=1560 XHG=1728 XHG=1829 XHG=1920 XHG=2031 XHG=2096 XHG=2225 YBD=2551 YHG=2519>his YBD=2557 YBD=2559 YBD=2552 YHG=2520>tion. YHG=2521>A YHG=2520>history YHG=2530>was YHG=2520>not YHG=2529>easy YHG=2519>take, YHG=2520>owing YHG=2520>to " XBD=2492 XBD=1547 XHG=2239 XBD=1610 XBD=1883 XBD=1981 XBD=2096 XBD=2215 XHG=1362 YBD=2592 XHG=1567 XHG=1628 XHG=1906 XHG=2006 XHG=2116 YBD=2600 YHG=2560>considerable YBD=2597 YBD=2591 YBD=2599 YHG=2561>difficulty YHG=2561>in YHG=2560>articulation, YHG=2561>and YHG=2561>only YHG=2561>after " XBD=2494 XBD=1509 XHG=2398 XBD=1607 XBD=1659 XBD=1911 XBD=2020 XBD=2105 XBD=2280 XBD=2377 XHG=1360 YBD=2633 XHG=1530 XHG=1625 XHG=1678 XHG=1931 XHG=2039 XHG=2125 XHG=2299 YBD=2634 YHG=2602>been YBD=2632 YHG=2602>trouble YHG=2612>was YHG=2602>it YHG=2602>ascertained YHG=2602>that YHG=2602>the YHG=2602>tumour YHG=2602>had
" XBD=2493 XBD=1514 XHG=2363 XBD=1604 XBD=1770 XBD=1924 XBD=2035 XBD=2156 XBD=2221 XBD=2329 XHG=1362 YBD=2682 XHG=1545 XHG=1635 XHG=1804 XHG=1958 XHG=2067 XHG=2187 XHG=2252 YBD=2680 YHG=2643>slowly YBD=2673 YBD=2674 YHG=2643>present YHG=2643>for YHG=2642>twelve YHG=2652>years, YHG=2643>and YHG=2643>that YHG=2643>it YHG=2643>had " XBD=1713 XBD=1552 XHG=1625 XBD=1611 XHG=1361 YBD=2715 XHG=1569 YBD=2714 YHG=2684>size. YHG=2684>increased YHG=2684>in
" " " " " " " " " " "
XBD=2493 XBD=1469 XBD=1601 XBD=1739 XBD=1878 XBD=1975 XBD=2149 XBD=2255 XBD=1455 XBD=1684 XBD=1796 XBD=1887 XBD=2077 XBD=2189 XBD=2406 XBD=2494 XBD=1523 XBD=1594 XBD=1690 XBD=1875 XBD=1966 XBD=2074 XBD=2129 XBD=2300 XBD=2491 XBD=1415 XBD=1597 XBD=1840 XBD=1961 XBD=2028 XBD=2134 XBD=2243 XBD=2366 XBD=2491 XBD=1530 XBD=1661 XBD=1762 XBD=1937 XBD=2129 XBD=2258 XBD=2493 XBD=1402 XBD=1553 XBD=1677 XBD=1843 XBD=1950 XBD=2087 XBD=2149 XBD=2349 XBD=2401 XBD=2488 XBD=1442 XBD=1600 XBD=1752 XBD=1823 XBD=1923 XBD=2141 XBD=2239 XBD=2324 XBD=2491 XBD=1432 XBD=1633 XBD=1719 XBD=1857 XBD=1989 XBD=2118 XBD=2212 XBD=2490 XBD=1509 XBD=1742 XBD=1828 XBD=1922 XBD=2130 XBD=2289 XBD=2367 XBD=2426 XBD=2490 XBD=1632 XBD=1840 XBD=1956 XBD=2054 XBD=2238 XBD=2347 XBD=2493 XBD=1536 XBD=1580 XBD=1754
XHG=2284 XHG=1412 XHG=1500 XHG=1638 XHG=1774 XHG=1909 XHG=2003 XHG=2178 XHG=1361 XHG=1490 XHG=1720 XHG=1821 XHG=1923 XHG=2113 XHG=2225 XHG=2441 XHG=1363 XHG=1555 XHG=1624 XHG=1720 XHG=1928 XHG=1996 XHG=2107 XHG=2159 XHG=2332 XHG=1362 XHG=1441 XHG=1624 XHG=1869 XHG=1990 XHG=2057 XHG=2157 XHG=2272 XHG=2393 XHG=1361 XHG=1562 XHG=1696 XHG=1796 XHG=1975 XHG=2163 XHG=2291 XHG=1362 XHG=1433 XHG=1584 XHG=1709 XHG=1873 XHG=1980 XHG=2118 XHG=2180 XHG=2381 XHG=2433 XHG=1362 XHG=1460 XHG=1618 XHG=1769 XHG=1841 XHG=1942 XHG=2163 XHG=2257 XHG=2342 XHG=1363 XHG=1468 XHG=1670 XHG=1757 XHG=1896 XHG=2024 XHG=2154 XHG=2249 XHG=1358 XHG=1529 XHG=1758 XHG=1846 XHG=1937 XHG=2190 XHG=2308 XHG=2382 XHG=2446 XHG=1365 XHG=1662 XHG=1869 XHG=1988 XHG=2084 XHG=2268 XHG=2377 XHG=1361 XHG=1558 XHG=1603
YBD=2771 YBD=2777 YBD=2770 YBD=2780 YBD=2772 YBD=2816 YBD=2817 YBD=2818 YBD=2827 YBD=2871 YBD=2863 YBD=2862 YBD=2872 YBD=2864 YBD=2908 YBD=2917 YBD=2916 YBD=2918 YBD=2909 YBD=2954 YBD=2953 YBD=2963 YBD=2964 YBD=2955 YBD=3009 YBD=3001 YBD=3010 YBD=3000 YBD=3002 YBD=3054 YBD=3045 YBD=3053 YBD=3046 YBD=3055 YBD=3099 YBD=3090 YBD=3100 YBD=3092 YBD=3091 YBD=3144 YBD=3145 YBD=3137 YBD=3136 YBD=3146 YBD=3138 YBD=3181 YBD=3190 YBD=3183 YBD=3182 YBD=3236 YBD=3226 YBD=3235
YHG=2738>infiltrated YHG=2738>On YHG=2738>Sept. YHG=2738>17th, YHG=2740>1937, YHG=2738>the YHG=2739>pedicle YHG=2749>was YHG=2784>with YHG=2784>Novocain YHG=2784>and YHG=2784>the YHG=2785>tumour YHG=2795>was YHG=2786>removed YHG=2785>by YHG=2831>division YHG=2831>of YHG=2830>the YHG=2830>pedicle. YHG=2831>It YHG=2840>was YHG=2841>a YHG=2832>lipoma YHG=2831>covered YHG=2877>by YHG=2886>mucous YHG=2876>membrane YHG=2876>(Fig. YHG=2878>2) YHG=2876>and YHG=2877>four YHG=2877>days YHG=2877>after YHG=2922>removal YHG=2922>from YHG=2922>the YHG=2924>tongue YHG=2922>(having YHG=2922>been YHG=2921>immersed YHG=2968>in YHG=2967>Jore’s YHG=2967>fluid YHG=2967>during YHG=2967>this YHG=2968>time) YHG=2969>it YHG=2968>weighed YHG=2969>6 YHG=2977>oz. YHG=3013>The YHG=3014>wound YHG=3013>healed YHG=3013>by YHG=3012>first YHG=3014>intention, YHG=3014>and YHG=3014>the YHG=3013>patient YHG=3059>left YHG=3058>hospital YHG=3068>on YHG=3058>Sept. YHG=3060>23rd YHG=3060>with YHG=3059>his YHG=3059>articulation YHG=3104>rapidly YHG=3104>improving YHG=3104>but YHG=3104>still YHG=3105>impaired. YHG=3105>Prof. YHG=3105>W. YHG=3105>A. YHG=3105>E. YHG=3149>Karunaratne YHG=3150>reported YHG=3150>that YHG=3151>the YHG=3152>tumour YHG=3160>was YHG=3150>histoYHG=3195>logically YHG=3204>a YHG=3195>lipoma.
" XBD=1073 XBD=457 XHG=857 XBD=617 XBD=760 XBD=841 XBD=914 XHG=381 XHG=478 XHG=634 XHG=776 XHG=933YBD=3617 YBD=3618 YBD=3624 YBD=3617YHG=3592>the YHG=3593>FIG. YHG=3592>1.―The YHG=3592>patient YHG=3593>and YHG=3591>tumour.
REFERENCES W. G., and Cade, S. (1931) Diseases of the Tongue, London. In the following list the references marked with an asterisk are quoted from Spencer and Cade (1931) :— MULTIPLE LIPOMATA : *Barling, G. (1858) Brit. med. J. 2, 1061. *Cauchois (1883) Bull. Mém. Soc. Chir. 9, 572. *Chevasse, T. F. (1896) Lancet, 2, 1607. Low, V. W. (1911) Proc. R. Soc. Med. 5, 62 (Clin. Sect.). DIFFUSE LIPOMA : *Bond, J. W. (1898-99) Proc. laryng. Soc. 6, 8.
Spencer,
997
CLINICAL AND LABORATORY NOTES LIPOMA OF THE TONGUE BY MILROY
PAUL, M.S. Lond., M.R.C.P., F.R.C.S.
PROFESSOR OF SURGERY IN THE CEYLON MEDICAL COLLEGE ; SURGEON TO THE GENERAL HOSPITAL, COLOMBO
AND
XBD=1311XHG=846 XBD=402 XBD=471 XBD=563 XBD=730 XBD=820 XBD=929 XBD=1105 XBD=1172 XHG=235 XHG=432 XHG=496 XHG=589 XHG=758 XHG=956YBD=777 XHG=1132 XHG=1200 YBD=775 YBD=774 YBD=785 YBD=776 YBD=785 YBD=776YHG=754>rare YBD=777 YHG=744>LIPOMAS YHG=743>of YHG=742>the YHG=744>tongue YHG=753>are YHG=743>enough YHG=745>to YHG=744>merit XBD=391 XHG=774 XBD=555 XBD=655 XBD=753 XBD=892 XBD=1101 XBD=1147 XBD=1312 XHG=194 XHG=412 XHG=578 XHG=676 XHG=916YBD=832 XHG=1124 XHG=1169 YBD=828 YBD=821 YBD=822 YBD=823 YBD=821YHG=800>paper YBD=832 YHG=788>individual YHG=789>record, YHG=789>and YHG=789>this YHG=790>describes YHG=800>a YHG=790>typical XBD=362 XHG=858 XBD=575 XBD=687 XBD=822 XBD=981 XBD=1168 XBD=1310 XHG=194 XHG=415 XHG=611 XHG=721 XHG=1018YBD=877 XHG=1202 YBD=876 YBD=867 YBD=869 YBD=877YHG=838>(1931) YBD=869 YHG=836>example. YHG=834>Spencer YHG=836>and YHG=837>Cade YHG=836>classify YHG=836>them XBD=304 XHG=763 XBD=411 XBD=641 XBD=736 XBD=878 XBD=1115 XBD=1312 XHG=196 XHG=328 XHG=435 XHG=685 XHG=905YBD=924 XHG=1139 YBD=915 YBD=913 YBD=923 YBD=923 YBD=915YHG=883>single YHG=882>under YHG=881>four YHG=880>headings YHG=884>(1) YHG=882>superficial YHG=884>tumours: XBD=337 XHG=946 XBD=399 XBD=577 XBD=906 XBD=998 XBD=1311 XHG=193 XHG=359 XHG=424 XHG=599 XHG=1022YBD=969 YBD=959 YBD=960 YBD=961YHG=930>(2) YHG=928>tending YHG=928>to YHG=927>become YHG=927>pedunculated YHG=928>intermuscular ; XBD=420 XHG=791 XBD=652 XBD=756 XBD=964 XBD=1185 XBD=1311 XHG=194 XHG=453 XHG=704 XHG=999YBD=1015 XHG=1234 YBD=1013 YBD=1015 YBD=1007YHG=974>multiple YHG=973>deep-seated YHG=975>tumours; YHG=976>(3) YHG=974>lipomas; YHG=974>and XBD=238 XHG=398 XBD=383 XBD=567 XHG=194 YBD=1060 XHG=256 YBD=1064 YHG=1019>lipomas. YBD=1053 YHG=1023>(4) YHG=1020>diffuse
" XBD=1310 XBD=305 XHG=883 XBD=436 XBD=663 XBD=820 XBD=864 XBD=949 XBD=1061 XBD=1183 XHG=234 XHG=325 XHG=455 XHG=683 XHG=832 XHG=969YBD=1113 XHG=1081 XHG=1203 YBD=1119 YBD=1120 YBD=1112 YBD=1120 YBD=1112YHG=1081>the YBD=1113 YHG=1082>The YHG=1080>single YHG=1080>superficial YHG=1081>lipoma YHG=1081>is YHG=1081>type YHG=1082>most YHG=1081>often " XBD=1307 XBD=365 XHG=904 XBD=574 XBD=718 XBD=787 XBD=877 XBD=984 XBD=1050 XBD=1141 XHG=190 XHG=416 XHG=598 XHG=744 XHG=811 XHG=1012YBD=1153 XHG=1074 XHG=1166 YBD=1155 YBD=1161 YBD=1153YHG=1122>side YBD=1162 YHG=1123>recorded. YHG=1122>Usually YHG=1122>found YHG=1123>at YHG=1123>the YHG=1123>of YHG=1123>the YHG=1122>tongue ""|>"XBD=1309 XBD=271 XBD=335 XBD=420 XBD=470 XBD=604 XBD=645 XBD=942 XBD=1061 XBD=1237 XHG=192 XHG=286 XHG=350 XHG=437 XHG=486 XHG=621 XHG=662 XHG=960 XHG=1081 XHG=1256 YBD=1196 YBD=1194 YBD=1202 YBD=1194 YBD=1194 YBD=1203 YHG=1174>near YHG=1163>its YHG=1163>tip, YHG=1163>it YHG=1163>forms YHG=1174>a YHG=1163>pedunculated YHG=1173>mass YHG=1164>covered YHG=1164>by XBD=1522 XBD=1833 XBD=1934 XBD=2107 XBD=2229 XBD=2279 XBD=1678 XHG=1441 XHG=1699 XHG=1849 XHG=1952 XHG=2140 XHG=2248 XHG=2305 XHG=1541 YBD=1222 YBD=1223 YBD=1224 YBD=1224 YHG=1198>FIG. YHG=1199>tumour YHG=1197>after YHG=1198>removal. YHG=1198>Scale YHG=1198>in YHG=1197>inches. YHG=1199>2-The " XBD=2425 XBD=333 XBD=595 XBD=771 XBD=847 XBD=1033 XBD=1144 XBD=1308 XHG=191 XHG=366 XHG=633 XHG=809 XHG=882 XHG=1067 XHG=1183 YBD=1237 YBD=1241 YBD=1236 YBD=1235 YBD=1244 YBD=1236 YHG=1214>mucous YHG=1205>membrane, YHG=1204>devoid YHG=1205>of YHG=1204>papillae YHG=1205>and YHG=1214>conse" XBD=1309 XBD=336 XHG=704 XBD=515 XBD=598 XBD=686 XBD=769 XBD=1022 XBD=1120 XBD=1209 XBD=1268 XHG=193 XHG=354 XHG=561 XHG=616 XHG=791YBD=1277 XHG=1042 XHG=1137 XHG=1228 XHG=1284 YBD=1286 YBD=1276 YBD=1277 YBD=1276YHG=1246>the YBD=1277 YHG=1246>quently YHG=1246>smooth. YHG=1246>It YHG=1246>has YHG=1245>consistence YHG=1246>and YHG=1246>feel YHG=1245>of YHG=1256>a XBD=1500XHG=837 XBD=1602 XBD=1773 XBD=2057 XBD=2253 XBD=2305 XBD=2503 XHG=1369YBD=1318 XHG=1526 XHG=1627 XHG=1802 XHG=2084 XHG=2282 XHG=2334 YBD=1317YHG=1287>colour YBD=1309 YBD=1308 YBD=1310 YHG=1276>needle YHG=1276>will YHG=1275>readily YHG=1276>differentiate YHG=1276>between YHG=1286>a YHG=1275>dermoid "" XBD=1309 XBD=283 XBD=465 XBD=567 XBD=655 XBD=812 XBD=963 XBD=1026 XBD=1113 XBD=1196 XHG=190 XHG=303 XHG=489 XHG=588 XHG=679 XHG=987 XHG=1047 XHG=1136 XHG=1217 YBD=1323 YBD=1326 YBD=1319 YBD=1318 YBD=1327 YHG=1288>fatty YHG=1288>tumour, YHG=1288>and YHG=1287>the YHG=1287>yellow YHG=1287>of YHG=1286>the YHG=1286>fat YHG=1296>may " XBD=1766 XBD=1454 XBD=1552 XBD=1595 XHG=1370 XHG=1475 XHG=1572 XHG=1614 YBD=1365 YBD=1355 YBD=1354 YBD=1364 YHG=1324>cyst YHG=1323>and YHG=1332>a YHG=1322>lipoma. XBD=231 XHG=801 XBD=330 XBD=488 XBD=682 XBD=773 XBD=958 XBD=1216 XBD=1309 XHG=192 XHG=257 XHG=356 XHG=514 XHG=707 XHG=985YBD=1359 XHG=1271 YBD=1361 YBD=1367 YBD=1368 YBD=1360 YBD=1359YHG=1338>mucous YHG=1331>be YHG=1329>just YHG=1328>visible YHG=1328>through YHG=1329>the YHG=1329>membrane. YHG=1328>It XBD=297 XHG=854 XBD=443 XBD=540 XBD=705 XBD=835 XBD=946 XBD=1090 XBD=1237 XBD=1309 XHG=191 XHG=317 XHG=462 XHG=562 XHG=725 XHG=965YBD=1408 XHG=1112 XHG=1257 YBD=1410 YBD=1409 YBD=1401 YBD=1408 YBD=1400YHG=1379>may YHG=1379>grows YHG=1370>slowly YHG=1371>and YHG=1370>several YHG=1379>years YHG=1370>elapse YHG=1369>before YHG=1368>its " XBD=2500 XBD=1468 XBD=1580 XBD=1709 XBD=1859 XBD=2044 XBD=2247 XBD=2334 XHG=1414 XHG=1486 XHG=1600 XHG=1729 XHG=1878 XHG=2063 XHG=2267 XHG=2352 YBD=1402 YBD=1411 YBD=1407 YBD=1401 YBD=1410 YHG=1369>As YHG=1368>with YHG=1369>other YHG=1369>slowly YHG=1369>growing YHG=1370>tumours, YHG=1369>the YHG=1369>patient " XBD=1119 XBD=274 XBD=483 XBD=600 XBD=758 XBD=856 XHG=192 XHG=292 XHG=504 XHG=622 XHG=879 YBD=1442 YBD=1443 YBD=1450 YBD=1449 YHG=1411>bulk YHG=1410>interferes YHG=1410>with YHG=1412>speech YHG=1410>swallowing. XBD=1400XHG=779 XBD=1613 XBD=1679 XBD=1802 XBD=1858 XBD=2074 XBD=2177 XBD=2275 XBD=2405 XBD=2501 XHG=1367YBD=1441 XHG=1424 XHG=1638 XHG=1704 XHG=1826 XHG=1882 XHG=2101 XHG=2199 XHG=2299 XHG=2428 YBD=1447YHG=1411>and YBD=1454 YBD=1448 YBD=1457 YHG=1414>is YHG=1415>reluctant YHG=1416>to YHG=1414>have YHG=1415>it YHG=1415>removed, YHG=1415>and YHG=1415>will YHG=1415>often YHG=1417>put
" " " "" " " "" "" "
XBD=1306 XBD=302 XBD=550 XBD=736 XBD=826 XBD=927 XBD=1065 XBD=1171 XHG=232 XHG=331 XHG=579 XHG=763 XHG=956 XHG=1091 XHG=1198 YBD=1500 YBD=1499 YBD=1491 YBD=1491 YBD=1490 YBD=1491 YHG=1460>The YHG=1460>deep-seated YHG=1459>lipomas YHG=1469>are YHG=1459>often YHG=1458>met YHG=1457>with. XBD=1422XHG=855 XBD=1547 XBD=1644 XBD=1963 XBD=2034 XBD=2129 XBD=2260 XBD=2350 XBD=2497 XHG=1371YBD=1490 XHG=1453 XHG=1578 XHG=1674 XHG=1993 XHG=2062 XHG=2160 XHG=2289 XHG=2380 YBD=1502YHG=1459>less YBD=1493 YBD=1494 YBD=1504 YHG=1470>up YHG=1460>with YHG=1461>inconvenience YHG=1461>of YHG=1461>the YHG=1471>mass YHG=1461>for YHG=1471>many XBD=285 XBD=364 XBD=483 XBD=594 XBD=755 XHG=192 XHG=300 XHG=382 XHG=501 YBD=1532 YBD=1541 YHG=1502>They YHG=1501>too YHG=1511>grow YHG=1511>very XBD=1487XHG=613 XBD=1824 XBD=2026 XBD=2119 XBD=2294 XBD=2503 XHG=1366YBD=1540 XHG=1537 XHG=1853 XHG=2057 XHG=2148 XHG=2322 YBD=1548YHG=1501>slowly. YBD=1540 YBD=1550 YBD=1541 YHG=1517>years. YHG=1507>Pedunculated YHG=1509>tumours YHG=1518>are YHG=1508>readily YHG=1508>removed XBD=302 XBD=485 XBD=681 XBD=764 XBD=1027 XBD=1186 XBD=1305 XHG=232 XHG=323 XHG=507 XHG=785 XHG=1074 XHG=1205 YBD=1581 YBD=1589 YBD=1581 YBD=1580 YHG=1550>The YHG=1550>multiple YHG=1550>lipomata YHG=1559>uncommon. YHG=1549>Cases YHG=1549>have XBD=1419XHG=701 XBD=1619 XBD=1697 XBD=1833 XBD=2042 XBD=2173 XBD=2501 XHG=1366YBD=1580 XHG=1458 XHG=1657 XHG=1733 XHG=1868 XHG=2094 XHG=2210 YBD=1586YHG=1559>are YBD=1595 YBD=1587 YBD=1588 YHG=1553>by YHG=1554>division YHG=1554>of YHG=1553>their YHG=1554>pedicles. YHG=1554>The YHG=1555>intermuscular XBD=275 XBD=487 XBD=569 XBD=755 XBD=881 XBD=1107 XBD=1301 XHG=191 XHG=298 XHG=516 XHG=597 XHG=780 XHG=910 XHG=1134 YBD=1623 YBD=1630 YBD=1622 YBD=1628 YBD=1628 YBD=1629 YHG=1592>been YHG=1591>described YHG=1592>by YHG=1590>Warren YHG=1591>Low, YHG=1590>Cauchois, YHG=1590>Barling, XBD=1525 XBD=1612 XBD=1676 XBD=1835 XBD=1918 XBD=1976 XBD=2089 XBD=2208 XHG=1365 XHG=1542 XHG=1629 XHG=1693 XHG=1851 XHG=1936 XHG=1990 XHG=2105 YBD=1641 YBD=1632 YBD=1633 YBD=1635 YHG=1599>lipomas YHG=1610>can YHG=1600>be YHG=1600>shelled YHG=1601>out YHG=1600>of YHG=1600>their YHG=1600>beds. XBD=258 XHG=275 XBD=467 XHG=192 YBD=1664 YBD=1663 YHG=1632>Chevasse. YHG=1632>and XBD=2498 XHG=2431 XBD=1447 XBD=1577 XBD=1830 XBD=1905 XBD=1985 XBD=2097 XBD=2321 XBD=2398 XHG=1412 YBD=1688 XHG=1479 XHG=1614 XHG=1867 XHG=1941 XHG=2019 XHG=2131 XHG=2355 YBD=1695 YHG=1656>the YBD=1687 YBD=1689 YHG=1656>A YHG=1656>male YHG=1656>Singhalese YHG=1656>of YHG=1657>43 YHG=1666>was YHG=1656>admitted YHG=1656>to XBD=367 XBD=626 XBD=699 XBD=797 XBD=974 XBD=1040 XBD=1305 XHG=231 XHG=401 XHG=660 XHG=731 XHG=832 XHG=1007 XHG=1075 YBD=1719 YBD=1720 YBD=1711 YBD=1718 YBD=1711 YBD=1718 YHG=1670>Diffuse YHG=1680>lipomatosis YHG=1680>of YHG=1679>the YHG=1679>tongue YHG=1679>is YHG=1679>excessively XBD=1524 XBD=1741 XBD=1954 XBD=2031 XBD=2162 XBD=2294 XBD=2424 XBD=2498 XHG=1367 XHG=1551 XHG=1764 XHG=1981 XHG=2058 XHG=2192 XHG=2320 XHG=2448 YBD=1736 YBD=1734 YBD=1728 YBD=1737 YBD=1735 YBD=1729 YHG=1697>General YHG=1697>Hospital, YHG=1697>Colombo, YHG=1697>Sept. YHG=1697>14th, YHG=1698>1937, YHG=1707>on XBD=273 XBD=451 XBD=554 XBD=604 XBD=765 XBD=837 XBD=905 XBD=1078 XHG=192 XHG=311 XHG=471 XHG=572 XHG=625 XHG=784 XHG=920 YBD=1753 YBD=1752 YBD=1761 YBD=1760 YBD=1753 YHG=1731>rare. YHG=1722>Bond’s YHG=1731>case YHG=1722>is YHG=1721>quoted YHG=1722>by YHG=1720>writers. XBD=1526XHG=853 XBD=1590 XBD=1636 XBD=1814 XBD=2004 XBD=2125 XBD=2209 XBD=2386 XBD=2494 XHG=1363YBD=1751 XHG=1551 XHG=1613 XHG=1659 XHG=1839 XHG=2026 XHG=2148 XHG=2230 XHG=2435 YBD=1769YHG=1720>all YBD=1770 YBD=1778 YBD=1771 YHG=1738>account YHG=1738>of YHG=1748>a YHG=1738>tumour YHG=1739>growing YHG=1738>from YHG=1739>his YHG=1739>tongue. YHG=1739>He XBD=1563XHG=840 XBD=1732 XBD=1844 XBD=1921 XBD=2076 XBD=2164 XBD=2222 XBD=2306 XBD=2494 XHG=1364YBD=1817 XHG=1582 XHG=1749 XHG=1862 XHG=1940 XHG=2093 XHG=2183 XHG=2240 XHG=2326 YBD=1819YHG=1784>chronic YBD=1812 YBD=1811 YBD=1813 YHG=1779>presented YHG=1780>himself YHG=1780>with YHG=1781>his YHG=1780>mouth YHG=1780>full YHG=1780>of YHG=1780>the YHG=1780>tumour. XBD=302 XBD=420 XBD=599 XBD=806 XBD=990 XBD=1304 XHG=232 XHG=332 XHG=450 XHG=632 XHG=1021 YBD=1818 YBD=1827 YBD=1819 YBD=1826 YHG=1784>The YHG=1785>long YHG=1785>history YHG=1785>excludes YHG=1785>inflammatory
"" XBD=2494 XBD=1426 XBD=1553 XBD=1684 XBD=1804 XBD=1896 XBD=1977 XBD=2146 XBD=2210 XBD=2434 XHG=1367 XHG=1440 XHG=1567 XHG=1699 XHG=1819 XHG=1911 XHG=1992 XHG=2162 XHG=2227 XHG=2449 YBD=1852 YBD=1860 YBD=1854 YBD=1855 YBD=1859 YBD=1861 YBD=1853 YHG=1820>On YHG=1820>being YHG=1822>asked YHG=1821>what YHG=1831>was YHG=1822>the YHG=1821>matter, YHG=1823>he YHG=1822>proceeded YHG=1821>to XBD=309 XHG=783 XBD=426 XBD=494 XBD=687 XBD=757 XBD=992 XBD=1185 XBD=1304 XHG=196 XHG=335 XHG=453 XHG=519 XHG=715 XHG=1018YBD=1873 XHG=1211 YBD=1865 YBD=1874 YBD=1864 YBD=1873YHG=1832>malignant YBD=1864 YHG=1832>lesions YHG=1832>such YHG=1842>as YHG=1842>gumma, YHG=1842>or YHG=1832>growths YHG=1831>such "" XBD=2493 XBD=1513 XBD=1573 XBD=1699 XBD=1784 XBD=1946 XBD=2158 XBD=2323 XHG=1362 XHG=1540 XHG=1600 XHG=1725 XHG=1810 XHG=1974 XHG=2185 XHG=2349 YBD=1893 YBD=1902 YBD=1901 YBD=1894 YHG=1871>remove YHG=1862>it YHG=1863>from YHG=1862>his YHG=1863>mouth YHG=1862>digitally, YHG=1862>taking YHG=1862>several XBD=230 XBD=409 XBD=499 XBD=580 XBD=730 XBD=874 XBD=931 XBD=1013 XBD=1087 XBD=1153 XBD=1302 XHG=200 XHG=242 XHG=462 XHG=513 XHG=596 XHG=748 XHG=892 XHG=947 XHG=1030 XHG=1105 XHG=1170 YBD=1910 YBD=1912 YBD=1920 YBD=1911 YBD=1910 YBD=1910 YBD=1911 YHG=1887>as YHG=1888>sarcoma. YHG=1879>If YHG=1878>the YHG=1878>yellow YHG=1878>colour YHG=1879>of YHG=1878>the YHG=1878>fat YHG=1878>be YHG=1877>visible "" XBD=2492 XBD=1528 XBD=1602 XBD=1684 XBD=1768 XBD=1878 XBD=2063 XBD=2185 XBD=2332 XBD=2436 XHG=1363 XHG=1558 XHG=1633 XHG=1715 XHG=1801 XHG=1908 XHG=2093 XHG=2216 XHG=2360 XHG=2467 YBD=1941 YBD=1943 YBD=1934 YBD=1935 YHG=1902>minutes YHG=1903>to YHG=1904>do YHG=1913>so, YHG=1904>and YHG=1904>looking YHG=1914>very YHG=1904>much YHG=1904>like YHG=1913>a XBD=335 XBD=421 XBD=600 XBD=850 XBD=899 XBD=1020 XBD=1249 XBD=1304 XHG=197 XHG=356 XHG=444 XHG=623 XHG=875 XHG=923 XHG=1043 XHG=1271 YBD=1966 YBD=1956 YBD=1963 YBD=1957 YBD=1957 YBD=1957 YBD=1956 YHG=1923>through YHG=1924>the YHG=1934>mucous YHG=1924>membrane, YHG=1934>a YHG=1924>clear YHG=1924>indication YHG=1924>is "" XBD=2492 XBD=1536 XBD=1691 XBD=1921 XBD=2102 XBD=2189 XBD=2247 XBD=2325 XHG=1365 XHG=1552 XHG=1708 XHG=1939 XHG=2120 XHG=2208 XHG=2265 XHG=2342 YBD=1983 YBD=1984 YBD=1976 YBD=1977 YHG=1944>conjurer YHG=1944>taking YHG=1945>something YHG=1945>unusual YHG=1945>out YHG=1945>of YHG=1944>his YHG=1944>mouth. XBD=354 XBD=424 XBD=521 XBD=688 XBD=760 XBD=856 XBD=1053 XBD=1185 XBD=1302 XHG=202 XHG=385 XHG=454 XHG=552 XHG=721 XHG=790 XHG=888 XHG=1105 XHG=1217 YBD=2002 YBD=2003 YBD=2004 YBD=2002 YHG=1969>obtained YHG=1970>of YHG=1970>the YHG=1972>nature YHG=1971>of YHG=1971>the YHG=1972>tumour. YHG=1970>The " XBD=2493 XBD=1441 XHG=2340 XBD=1613 XBD=1706 XBD=1842 XBD=1923 XBD=2014 XBD=2072 XBD=2111 XBD=2322 XHG=1362 YBD=2024 XHG=1458 XHG=1628 XHG=1722 XHG=1857 XHG=1941 XHG=2033 XHG=2087 XHG=2126 YBD=2016 YHG=1980>conYBD=2018 YBD=2017 YBD=2025 YHG=1985>The YHG=1985>tumour YHG=1995>was YHG=1986>about YHG=1986>the YHG=1986>size YHG=1986>of YHG=1995>a YHG=1986>tangerine YHG=1995>orange, " XBD=2492 XBD=314 XHG=760 XBD=577 XBD=643 XBD=734 XBD=901 XBD=1075 XBD=1254 XBD=1303 XHG=199 XHG=339 XHG=604 XHG=668 XHG=926YBD=2059 XHG=1102 XHG=1280 YBD=2057 YBD=2058 YBD=2049 YBD=2058 YBD=2049YHG=2018>tongue YBD=2048 YHG=2016>genital YHG=2016>embryomas YHG=2017>of YHG=2016>the YHG=2017>usually YHG=2017>contain YHG=2026>a XBD=1542 XBD=1612 XBD=1651 XBD=1809 XBD=1868 XBD=1949 XBD=2035 XBD=2199 XBD=2252 XBD=2334 XHG=1361 XHG=1559 XHG=1627 XHG=1667 XHG=1825 XHG=1883 XHG=1965 XHG=2050 XHG=2213 XHG=2267 XHG=2350 YBD=2057 YBD=2058 YBD=2059 YBD=2066 YHG=2025>attached YHG=2026>by YHG=2037>a YHG=2027>pedicle YHG=2028>to YHG=2027>left YHG=2027>margin YHG=2027>of YHG=2027>the YHG=2027>tongue XBD=277 XHG=891 XBD=389 XBD=460 XBD=595 XBD=756 XBD=859 XBD=931 XBD=1069 XBD=1203 XBD=1302 XHG=197 XHG=307 XHG=422 XHG=491 XHG=627 XHG=789 XHG=963YBD=2096 XHG=1102 XHG=1235 YBD=2103 YBD=2095 YBD=2094 YBD=2104 YBD=2102 YBD=2097 YBD=2096 YBD=2095YHG=2064>in YBD=2096 YHG=2063>good YHG=2063>deal YHG=2063>of YHG=2063>fatty YHG=2064>tissue, YHG=2064>but YHG=2064>these YHG=2073>cases YHG=2062>the " XBD=2494 XBD=1453 XBD=1530 XBD=1613 XBD=1738 XBD=1817 XBD=1908 XBD=2010 XBD=2195 XBD=2316 XHG=1363 XHG=1478 XHG=1553 XHG=1645 XHG=1768 XHG=1869 XHG=1932 XHG=2038 XHG=2220 XHG=2341 YBD=2107 YBD=2100 YBD=2101 YBD=2099 YHG=2077>near YHG=2068>its YHG=2068>tip YHG=2068>(Fig. YHG=2070>1). YHG=2069>It YHG=2078>was YHG=2069>covered YHG=2068>with YHG=2067>smooth "|>"XBD=2493 XBD=1520 XBD=1756 XBD=1914 XBD=1974 XBD=2252 XBD=2377 XBD=2153 XHG=1363 XHG=1539 XHG=1776 XHG=1935 XHG=2174 XHG=2270 XHG=2396 XHG=1993 YBD=2141 YBD=2140 YBD=2142 YBD=2149 YHG=2119>mucous YHG=2110>membrane YHG=2110>devoid YHG=2110>of YHG=2110>and YHG=2109>there YHG=2118>were YHG=2109>papillae, XBD=325 XBD=415 XBD=527 XBD=640 XBD=774 XBD=831 XBD=961 XBD=1091 XBD=1303 XHG=195 XHG=341 XHG=430 XHG=544 XHG=656 XHG=791 XHG=848 XHG=1013 XHG=1109 YBD=2141 YBD=2142 YBD=2144 YBD=2151 YHG=2109>tumour YHG=2109>will YHG=2109>have YHG=2110>been YHG=2110>noted YHG=2112>at YHG=2110>birth. YHG=2110>The YHG=2109>exploring " XBD=2493 XBD=1507 XHG=2261 XBD=1744 XBD=1887 XBD=1963 XBD=2053 XBD=2236 XHG=1364 YBD=2182 XHG=1533 XHG=1767 XHG=1914 XHG=1987 XHG=2079 YBD=2189 YHG=2151>membrane. YBD=2181 YHG=2150>several YHG=2150>superficial YHG=2151>ulcers YHG=2161>on YHG=2151>the YHG=2160>mucous " XBD=2496 XBD=1441 XHG=2451 XBD=1617 XBD=1716 XBD=1815 XBD=1912 XBD=1998 XBD=2172 XBD=2269 XBD=2430 XHG=1364 YBD=2223 XHG=1463 XHG=1638 XHG=1738 XHG=1835 XHG=1933 XHG=2022 XHG=2191 XHG=2290 YBD=2230 YHG=2190>to YBD=2222 YHG=2191>The YHG=2191>tumour YHG=2192>soft YHG=2192>and YHG=2192>the YHG=2191>patient YHG=2201>was YHG=2191>unable " XBD=2493 XBD=1562 XHG=2427 XBD=1720 XBD=1896 XBD=1966 XBD=2078 XBD=2297 XBD=2410 XHG=1362 YBD=2263 XHG=1583 XHG=1739 XHG=1914 XHG=1985 XHG=2095 XHG=2314 YBD=2271 YHG=2232>the YBD=2264 YHG=2232>articulate YHG=2233>clearly YHG=2233>because YHG=2233>its YHG=2233>bulk YHG=2232>interfered YHG=2232>with " XBD=2493 XBD=1599 XHG=2344 XBD=1667 XBD=1759 XBD=1928 XBD=2034 XBD=2155 XBD=2223 XBD=2315 XHG=1363 YBD=2305 XHG=1628 XHG=1693 XHG=1786 XHG=1956 XHG=2063 XHG=2184 XHG=2249 YBD=2313 YHG=2273>mouth. YBD=2304 YHG=2273>movements YHG=2274>of YHG=2274>the YHG=2274>tongue YHG=2274>and YHG=2274>floor YHG=2273>of YHG=2273>the " XBD=2494 XBD=1422 XHG=2433 XBD=1517 XBD=1577 XBD=1754 XBD=1836 XBD=1993 XBD=2050 XBD=2132 XBD=2305 XBD=2418 XHG=1364 YBD=2346 XHG=1440 XHG=1535 XHG=1596 XHG=1770 XHG=1854 XHG=2012 XHG=2067 XHG=2150 XHG=2322 YBD=2354 YHG=2314>his YBD=2353 YBD=2345 YBD=2347 YHG=2314>He YHG=2315>had YHG=2315>to YHG=2315>support YHG=2315>weight YHG=2314>of YHG=2315>the YHG=2314>tumour YHG=2314>with " XBD=2322 XBD=2493 XHG=2344 XBD=1478 XBD=1611 XBD=1663 XBD=1761 XBD=1880 XBD=2088 XBD=2180 XBD=2241 XHG=1361 YBD=2388 XHG=1500 XHG=1630 XHG=1684 XHG=1783 XHG=1901 XHG=2112 XHG=2203 XHG=2263 YBD=2393 YHG=2355>mouth. YBD=2386 YBD=2387 YHG=2356>hand, YHG=2357>when YHG=2356>it YHG=2356>had YHG=2357>been YHG=2356>delivered YHG=2356>out YHG=2356>of YHG=2356>his " XBD=2495 XBD=1422 XHG=2296 XBD=1530 XBD=1733 XBD=1947 XBD=2006 XBD=2097 XBD=2147 XBD=2276 XBD=2397 XHG=2415 YBD=2428 XHG=1363 XHG=1440 XHG=1549 XHG=1753 XHG=1964 XHG=2025 XHG=2114 XHG=2166 YBD=2436 YHG=2397>this YBD=2427 YBD=2435 YHG=2397>He YHG=2407>was, YHG=2398>however, YHG=2397>unwilling YHG=2397>to YHG=2397>put YHG=2397>it YHG=2397>back, YHG=2397>since " XBD=2494 XBD=1439 XHG=2450 XBD=1478 XBD=1714 XBD=1770 XBD=1888 XBD=2102 XBD=2197 XBD=2260 XBD=2434 XHG=1362 YBD=2469 XHG=1455 XHG=1494 XHG=1732 XHG=1786 XHG=1905 XHG=2119 XHG=2212 XHG=2277 YBD=2471 YHG=2437>to YBD=2476 YBD=2468 YHG=2448>was YHG=2448>a YHG=2448>manoeuvre YHG=2439>of YHG=2447>some YHG=2437>difficulty, YHG=2438>and YHG=2438>he YHG=2439>decided
" XBD=2346 XBD=2494 XHG=2365 XBD=1456 XBD=1507 XBD=1692 XBD=1857 XBD=1936 XBD=1984 XBD=2079 XBD=2273 XHG=1362 YBD=2519 XHG=1475 XHG=1525 XHG=1710 XHG=1875 XHG=1951 XHG=2000 XHG=2096 XHG=2293 YBD=2509 YHG=2488>operaYBD=2511 YBD=2510 YBD=2518 YHG=2480>keep YHG=2479>it YHG=2479>hanging YHG=2479>outside YHG=2479>till YHG=2478>it YHG=2488>was YHG=2479>removed YHG=2480>by " XBD=2495 XBD=1457 XHG=2369 XBD=1539 XBD=1707 XBD=1806 XBD=1898 XBD=2010 XBD=2074 XBD=2200 XBD=2348 XBD=2412 XHG=2434 YBD=2550 XHG=1360 XHG=1504 XHG=1560 XHG=1728 XHG=1829 XHG=1920 XHG=2031 XHG=2096 XHG=2225 YBD=2551 YHG=2519>his YBD=2557 YBD=2559 YBD=2552 YHG=2520>tion. YHG=2521>A YHG=2520>history YHG=2530>was YHG=2520>not YHG=2529>easy YHG=2519>take, YHG=2520>owing YHG=2520>to " XBD=2492 XBD=1547 XHG=2239 XBD=1610 XBD=1883 XBD=1981 XBD=2096 XBD=2215 XHG=1362 YBD=2592 XHG=1567 XHG=1628 XHG=1906 XHG=2006 XHG=2116 YBD=2600 YHG=2560>considerable YBD=2597 YBD=2591 YBD=2599 YHG=2561>difficulty YHG=2561>in YHG=2560>articulation, YHG=2561>and YHG=2561>only YHG=2561>after " XBD=2494 XBD=1509 XHG=2398 XBD=1607 XBD=1659 XBD=1911 XBD=2020 XBD=2105 XBD=2280 XBD=2377 XHG=1360 YBD=2633 XHG=1530 XHG=1625 XHG=1678 XHG=1931 XHG=2039 XHG=2125 XHG=2299 YBD=2634 YHG=2602>been YBD=2632 YHG=2602>trouble YHG=2612>was YHG=2602>it YHG=2602>ascertained YHG=2602>that YHG=2602>the YHG=2602>tumour YHG=2602>had
" XBD=2493 XBD=1514 XHG=2363 XBD=1604 XBD=1770 XBD=1924 XBD=2035 XBD=2156 XBD=2221 XBD=2329 XHG=1362 YBD=2682 XHG=1545 XHG=1635 XHG=1804 XHG=1958 XHG=2067 XHG=2187 XHG=2252 YBD=2680 YHG=2643>slowly YBD=2673 YBD=2674 YHG=2643>present YHG=2643>for YHG=2642>twelve YHG=2652>years, YHG=2643>and YHG=2643>that YHG=2643>it YHG=2643>had " XBD=1713 XBD=1552 XHG=1625 XBD=1611 XHG=1361 YBD=2715 XHG=1569 YBD=2714 YHG=2684>size. YHG=2684>increased YHG=2684>in
" " " " " " " " " " "
XBD=2493 XBD=1469 XBD=1601 XBD=1739 XBD=1878 XBD=1975 XBD=2149 XBD=2255 XBD=1455 XBD=1684 XBD=1796 XBD=1887 XBD=2077 XBD=2189 XBD=2406 XBD=2494 XBD=1523 XBD=1594 XBD=1690 XBD=1875 XBD=1966 XBD=2074 XBD=2129 XBD=2300 XBD=2491 XBD=1415 XBD=1597 XBD=1840 XBD=1961 XBD=2028 XBD=2134 XBD=2243 XBD=2366 XBD=2491 XBD=1530 XBD=1661 XBD=1762 XBD=1937 XBD=2129 XBD=2258 XBD=2493 XBD=1402 XBD=1553 XBD=1677 XBD=1843 XBD=1950 XBD=2087 XBD=2149 XBD=2349 XBD=2401 XBD=2488 XBD=1442 XBD=1600 XBD=1752 XBD=1823 XBD=1923 XBD=2141 XBD=2239 XBD=2324 XBD=2491 XBD=1432 XBD=1633 XBD=1719 XBD=1857 XBD=1989 XBD=2118 XBD=2212 XBD=2490 XBD=1509 XBD=1742 XBD=1828 XBD=1922 XBD=2130 XBD=2289 XBD=2367 XBD=2426 XBD=2490 XBD=1632 XBD=1840 XBD=1956 XBD=2054 XBD=2238 XBD=2347 XBD=2493 XBD=1536 XBD=1580 XBD=1754
XHG=2284 XHG=1412 XHG=1500 XHG=1638 XHG=1774 XHG=1909 XHG=2003 XHG=2178 XHG=1361 XHG=1490 XHG=1720 XHG=1821 XHG=1923 XHG=2113 XHG=2225 XHG=2441 XHG=1363 XHG=1555 XHG=1624 XHG=1720 XHG=1928 XHG=1996 XHG=2107 XHG=2159 XHG=2332 XHG=1362 XHG=1441 XHG=1624 XHG=1869 XHG=1990 XHG=2057 XHG=2157 XHG=2272 XHG=2393 XHG=1361 XHG=1562 XHG=1696 XHG=1796 XHG=1975 XHG=2163 XHG=2291 XHG=1362 XHG=1433 XHG=1584 XHG=1709 XHG=1873 XHG=1980 XHG=2118 XHG=2180 XHG=2381 XHG=2433 XHG=1362 XHG=1460 XHG=1618 XHG=1769 XHG=1841 XHG=1942 XHG=2163 XHG=2257 XHG=2342 XHG=1363 XHG=1468 XHG=1670 XHG=1757 XHG=1896 XHG=2024 XHG=2154 XHG=2249 XHG=1358 XHG=1529 XHG=1758 XHG=1846 XHG=1937 XHG=2190 XHG=2308 XHG=2382 XHG=2446 XHG=1365 XHG=1662 XHG=1869 XHG=1988 XHG=2084 XHG=2268 XHG=2377 XHG=1361 XHG=1558 XHG=1603
YBD=2771 YBD=2777 YBD=2770 YBD=2780 YBD=2772 YBD=2816 YBD=2817 YBD=2818 YBD=2827 YBD=2871 YBD=2863 YBD=2862 YBD=2872 YBD=2864 YBD=2908 YBD=2917 YBD=2916 YBD=2918 YBD=2909 YBD=2954 YBD=2953 YBD=2963 YBD=2964 YBD=2955 YBD=3009 YBD=3001 YBD=3010 YBD=3000 YBD=3002 YBD=3054 YBD=3045 YBD=3053 YBD=3046 YBD=3055 YBD=3099 YBD=3090 YBD=3100 YBD=3092 YBD=3091 YBD=3144 YBD=3145 YBD=3137 YBD=3136 YBD=3146 YBD=3138 YBD=3181 YBD=3190 YBD=3183 YBD=3182 YBD=3236 YBD=3226 YBD=3235
YHG=2738>infiltrated YHG=2738>On YHG=2738>Sept. YHG=2738>17th, YHG=2740>1937, YHG=2738>the YHG=2739>pedicle YHG=2749>was YHG=2784>with YHG=2784>Novocain YHG=2784>and YHG=2784>the YHG=2785>tumour YHG=2795>was YHG=2786>removed YHG=2785>by YHG=2831>division YHG=2831>of YHG=2830>the YHG=2830>pedicle. YHG=2831>It YHG=2840>was YHG=2841>a YHG=2832>lipoma YHG=2831>covered YHG=2877>by YHG=2886>mucous YHG=2876>membrane YHG=2876>(Fig. YHG=2878>2) YHG=2876>and YHG=2877>four YHG=2877>days YHG=2877>after YHG=2922>removal YHG=2922>from YHG=2922>the YHG=2924>tongue YHG=2922>(having YHG=2922>been YHG=2921>immersed YHG=2968>in YHG=2967>Jore’s YHG=2967>fluid YHG=2967>during YHG=2967>this YHG=2968>time) YHG=2969>it YHG=2968>weighed YHG=2969>6 YHG=2977>oz. YHG=3013>The YHG=3014>wound YHG=3013>healed YHG=3013>by YHG=3012>first YHG=3014>intention, YHG=3014>and YHG=3014>the YHG=3013>patient YHG=3059>left YHG=3058>hospital YHG=3068>on YHG=3058>Sept. YHG=3060>23rd YHG=3060>with YHG=3059>his YHG=3059>articulation YHG=3104>rapidly YHG=3104>improving YHG=3104>but YHG=3104>still YHG=3105>impaired. YHG=3105>Prof. YHG=3105>W. YHG=3105>A. YHG=3105>E. YHG=3149>Karunaratne YHG=3150>reported YHG=3150>that YHG=3151>the YHG=3152>tumour YHG=3160>was YHG=3150>histoYHG=3195>logically YHG=3204>a YHG=3195>lipoma.
" XBD=1073 XBD=457 XHG=857 XBD=617 XBD=760 XBD=841 XBD=914 XHG=381 XHG=478 XHG=634 XHG=776 XHG=933YBD=3617 YBD=3618 YBD=3624 YBD=3617YHG=3592>the YHG=3593>FIG. YHG=3592>1.―The YHG=3592>patient YHG=3593>and YHG=3591>tumour.
REFERENCES W. G., and Cade, S. (1931) Diseases of the Tongue, London. In the following list the references marked with an asterisk are quoted from Spencer and Cade (1931) :— MULTIPLE LIPOMATA : *Barling, G. (1858) Brit. med. J. 2, 1061. *Cauchois (1883) Bull. Mém. Soc. Chir. 9, 572. *Chevasse, T. F. (1896) Lancet, 2, 1607. Low, V. W. (1911) Proc. R. Soc. Med. 5, 62 (Clin. Sect.). DIFFUSE LIPOMA : *Bond, J. W. (1898-99) Proc. laryng. Soc. 6, 8.
Spencer,