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Updated: June 28, 2025


#Papilloma.# The common wart or verruca is an outgrowth of the surface epidermis. It may be sessile or pedunculated hard or soft. The surface may be smooth, or fissured and foliated like a cauliflower, or it may be divided up into a number of spines. Warts are met with chiefly on the hands, and are often multiple, occurring in clusters or in successive crops.

So again the two main divisions of cirripedes, the pedunculated and sessile, which differ widely in external appearance, have larvae in all their several stages barely distinguishable.

Fibrous tissue or cartilage may form in one or more of the fatty fringes and give rise to hard nodular masses, which may attain a considerable size, and in course of time may undergo ossification. Like other hypertrophies on a free surface, they tend to become pedunculated, and so acquire a limited range of movement. The pedicle may give way and the body become free.

#New Growths in the Skin and Subcutaneous Tissue.# The Angioma has been described with diseases of blood vessels. Fibroma. Various types of fibroma occur in the skin. A soft pedunculated fibroma, about the size of a pea, is commonly met with, especially on the neck and trunk; it is usually solitary, and is easily removed with scissors.

The tumours are of all sizes, some being no larger than a pin's head, whilst many are as big as a filbert and a few even larger. Many are sessile and others are distinctly pedunculated, but all are covered with skin. They are mobile, soft to the touch, and of the consistence of firm fat. The treatment consists in removing the larger swellings.

So again the two main divisions of cirripedes, the pedunculated and sessile, which differ widely in external appearance, have larvæ in all their stages barely distinguishable. The embryo in the course of development generally rises in organisation: I use this expression, though I am aware that it is hardly possible to define clearly what is meant by the organisation being higher or lower.

Look at the common oak, how closely it has been studied; yet a German author makes more than a dozen species out of forms, which are almost universally considered by other botanists to be varieties; and in this country the highest botanical authorities and practical men can be quoted to show that the sessile and pedunculated oaks are either good and distinct species or mere varieties.

It was a pedunculated growth, and it was undoubtedly vesical and not expelled from some ovarian source through the urinary passage, as sometimes occurs. The simpler forms of the ordinary dermoid cysts contain bone and teeth.

The knowledge of anomalous auricles is lost in antiquity. As a rule, supernumerary auricles are preauricular appendages. Warner, in a report of the examination of 50,000 children, quoted by Ballantyne, describes 33 with supernumerary auricles, represented by sessile or pedunculated outgrowths in front of the tragus.

In considering transitions of organs, it is so important to bear in mind the probability of conversion from one function to another, that I will give another instance. Pedunculated cirripedes have two minute folds of skin, called by me the ovigerous frena, which serve, through the means of a sticky secretion, to retain the eggs until they are hatched within the sack.

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