t Williamson Hospital at Shanghai. She was four feet eight
inches in height, and twenty-five years of age. The tumor had been
growing for six years until the circumference at the umbilicus measured
five feet 7 3/4 inches; 88 quarts of fluid were drawn off and the woman
recovered. In the College of Physicians, Philadelphia, there are
photographs of this case, with an inscription saying that the patient
was a young Chinese woman who measured but four feet eight inches in
height, while her girth was increased by an ovarian cyst to five feet 9
1/8 inches. The tumor was removed and weighed 182 1/2 pounds; it
contained 22 gallons of fluid. Figure 265 shows the appearance of the
woman two months after the operation, when the girth was reduced to
normal. Stone performed ovariotomy on a girl of fifteen, removing a
tumor weighing 81 1/2 pounds. Ranney speaks of the successful removal
of a unilocular tumor weighing 95 pounds; and Wall tells of a death
after removal of an ovarian tumor of the same weight. Rodenstein
portrays the appearance of a patient of forty-five after death from an
enormous glandular ovarian cystoma. The tumor was three feet high,
covered the breasts, extended to the knees, and weighed 146 pounds.
Kelly speaks of a cyst weighing 116 pounds; Keith one of 89 1/2 pounds;
Gregory, 80 pounds; Boerstler, 65 pounds; Bixby, 70 pounds; and Alston
a tumor of 70 pounds removed in the second operation of ovariotomy.

Dayot reports the removal of an enormous ovarian cyst from a girl of
seventeen. The tumor had been present three years, but the patient and
her family refused an operation until the size of the tumor alarmed
them. Its largest circumference was five feet 11 inches. The distance
from the xiphoid to the symphysis pubis was three feet. The tumor was
covered with veins the size of the little finger. The apex of the heart
was pushed to the 3d interspace and the umbilicus had disappeared.
There were 65 quarts of a thick, brown fluid in the tumor. The patient
recovered in twenty-five days.

Cullingworth of St. Thomas Hospital, London, successfully removed from
a girl of sixteen an ovarian cyst weighing over 80 pounds. The patient
was admitted to the hospital April 30, 1895. She gave a history of a
single menstruation, which took place in March or April, 1893, and said
that in the latter month she noticed that she was growing large. She
was tapped at Christmas, 1893, when a large quantity of fluid was
removed, and a