n a woman. Petrequin speaks of a
male breast 18 inches long which he amputated, and Laurent gives the
photograph of a man whose breasts measured 30 cm. in circumference at
the base, and hung like those of a nursing woman.

In some instances whole families with supernumerary breasts are seen.
Handyside gives two instances of quadruple breasts in brothers.
Blanchard speaks of a father who had a supernumerary nipple on each
breast and his seven sons had the same deformities; it was not noticed
in the daughters. The youngest son transmitted this anomaly to his four
sons. Petrequin describes a man with three mammae, two on the left
side, the third being beneath the others. He had three sons with
accessory mammae on the right side and two daughters with the same
anomaly on the left side. Savitzky reports a case of gynecomazia in a
peasant of twenty-one whose father, elder brother, and a cousin were
similarly endowed. The patient's breasts were 33 cm. in circumference
and 15 cm. from the nipple to the base of the gland; they resembled
normal female mammae in all respects. The penis and the other genitalia
were normal, but the man had a female voice and absence of facial hair.
There was an abundance of subcutaneous fat and a rather broad pelvis.

Wiltshire said that he knew a gynecomast in the person of a
distinguished naturalist who since the age of puberty observed activity
in his breasts, accompanied with secretion of milky fluid which lasted
for a period of six weeks and occurred every spring. This authority
also mentions that the French call husbands who have well-developed
mammae "la couvade;" the Germans call male supernumerary breasts
"bauchwarze," or ventral nipples. Hutchinson describes several cases
of gynecomazia, in which the external genital organs decreased in
proportion to the size of the breast and the manners became effeminate.
Cameron, quoted by Snedden, speaks of a fellow-student who had a
supernumerary nipple, and also says he saw a case in a little boy who
had an extra pair of nipples much wider than the ordinary ones.
Ansiaux, surgeon of Liege, saw a conscript of thirteen whose left mamma
was well developed like that of a woman, and whose nipple was
surrounded by a large areola. He said that this breast had always been
larger than the other, but since puberty had grown greatly; the genital
organs were well formed. Morgan examined a seaman of twenty-one,
admitted to the Royal Naval Hospital at Hong Kong,