When a young girl a tumor was removed from the front of her neck by operation, and cicatricial tumors then spread like a band encircling one-half her neck.

There were keloids over her scapulae, which followed the application of blisters.

On her back, over, and following the direction of the ribs, were growths attributed to the wounds caused by a flogging.

This case was quite remarkable for the predisposition shown to keloid at an early age, and the variety of factors in causation.
About 1867 Duhring had under his observation at the Philadelphia Hospital a negro whose neck was encircled by enormous keloids, which, although black, otherwise resembled tomatoes.

A photograph of this remarkable case was published in Philadelphia in 1870.
A lipoma is a tumor consisting of adipose tissue.