is
extraordinary. Borellus remarks that he knew of a woman of ordinary
size, each of whose mammae weighed about 30 pounds, and she supported
them in bags hung about her neck. Durston reports a case of sudden
onset of hypertrophy of the breast causing death. At the postmortem it
was found that the left breast weighed 64 pounds and the right 40
pounds. Boyer successfully removed two breasts at an interval of
twenty-six days between the two operations. The mass excised was
one-third of the total body-weight.

Schaeffer speaks of hypertrophied mammae in a girl of fourteen, the
right breast weighing 3900 grams (136 1/2 oz.) and the right 3500 grams
(122 1/2 oz.). Hamilton reports a case of hypertrophied glands in a
woman of thirty-two, which, within the short space of a year, reached
the combined weight of 52 pounds. They were successfully excised.
Velpeau, Billroth, and Labarracque have reported instances of the
removal of enormously hypertrophied mammae. In 1886 Speth of Munich
described a hypertrophy of the right breast which increased after every
pregnancy. At the age of twenty-six the woman had been five times
pregnant in the space of a little over five years, and at this time the
right breast hung down to the anterior superior spine of the ilium. It
weighed 20 pounds, and its greatest circumference was 25 inches. There
was no milk in this breast, although the left was in perfect lactation.
This case was one of pure hypertrophy and not an example of
fibro-adenoma, as illustrated by Billroth. Warren figures a case of
diffused hypertrophy of the breast which was operated on by Porter. The
right breast in its largest circumference measured 38 inches and from
the chest-wall to the nipple was 17 inches long, the circumference at
the base being 23 inches; the largest circumference of the left breast
was 28 inches; its length from the chest-wall to the nipple was 14
inches, and its circumference at the base 23 inches. The skin was
edematous and thickened. Throughout both breasts were to be felt
hardened movable masses, the size of oranges. Microscopic examination
showed the growth to be a diffused intracanalicular fibroma. A peculiar
case was presented before the Faculty at Montpellier. The patient was a
young girl of fifteen and a half years. After a cold bath, just as the
menses were appearing, it was found that the breasts were rapidly
increasing in size; she was subsequently obliged to leave service on
account of their