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George de Tarnowsky, M.D.
JAMA. 1940;114(25):2451. doi:10.1001/jama.1940.62810250003006b.
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While fibromas or fibrolipomas of the vulva are only comparatively rare and their removal presents a rather simple problem in plastic surgery, the following case seems worthy of report:


History.—  Miss R. A. aged 21 was referred to me by Dr. A. J. Schwartz, Nov. 16, 1939, for the removal of a pedunculated tumor arising from the right labium majus. Some two years before the patient—unusually shy and modest—had begun to notice that she was—to quote her own words—"getting fat between her thighs." She gave up swimming on this account but otherwise continued her social and athletic activities, including dancing. The tumor continued to grow and elongate until it reached halfway down her thigh. Some two months prior to her hospital admission the lower margin of the tumor began to ulcerate. This so alarmed the patient that, for the first time, she confided in her mother and


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