hey hung to the knees. Salmuth
speaks of a woman whose breasts increased to such a size that they hung
down to her knees. At the same time she had in both axillae glandular
tumors as large as the head of a fetus. Borellus also quotes the case
of a woman whose breasts became so large that it was necessary to
support them by straps, which passed over the shoulders and neck.

Elephantiasis is occasionally seen in the genital regions of the
female, but more often in the scrotum of the male, in which location it
produces enormous tumors, which sometimes reach to the ground and
become so heavy as to prevent locomotion. This condition is curious in
the fact that these immense tumors have been successfully removed, the
testicles and penis, which had long since ceased to be distinguished,
saved, and their function restored. Alibert mentions a patient who was
operated upon by Clot-Bey, whose scrotum when removed weighed 110
pounds; the man had two children after the disease had continued for
thirteen years, but before it had obtained its monstrous development--a
proof that the functions of the testicles had not been affected by the
disease.

There are several old accounts of scrotal tumors which have evidently
been elephantoid in conformation. In the Ephemerides in 1692 there was
mentioned a tumor of the scrotum weighing 200 pounds. In the West
Indies it was reported that rats have been known to feed on these
enormous tumors, while the deserted subjects lay in a most helpless
condition. Larrey mentioned a case of elephantiasis of the scrotum in
which the tumor weighed over 200 pounds. Sir Astley Cooper removed a
tumor of 56 pounds weight from a Chinese laborer. It extended from
beneath the umbilicus to the anterior border of the anus; it had begun
in the prepuce ten years previously. Clot-Bey removed an elephantoid
tumor of the scrotum weighing 80 pounds, performing castration at the
same time. Alleyne reports a case of elephantiasis, in which he
successfully removed a tumor of the integuments of the scrotum and
penis weighing 134 pounds.

Bicet mentions a curious instance of elephantiasis of the penis and
scrotum which had existed for five years. The subject was in great
mental misery and alarm at his unsightly condition. The parts of
generation were completely buried in the huge mass. An operation was
performed in which all of the diseased structures that had totally
unmanned him were removed, the true organs of generation