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〃The unusual feature in this case was the nature of the contents of the sac。 There was a large quantity of long straight hair growing from the cyst wall and an equal amount of loose hair in short pieces floating through the tumor… contents； a portion of which formed nuclei for what were called 'moth…balls；' of which there were about 1 1/2 gallons。 These balls； or marbles； varied from the size of moth…balls； as manufactured and sold by druggists； to that of small walnuts。 They seemed to be composed of sebaceous matter； and were evidently formed around the short hairs by the motion of the fluid produced by walking or riding。 There was some tissue resembling true skin attached to the inner wall of the sac。〃
There are several cases of multiple dermoid cysts on record； and they may occur all over the body。 Jamieson reports a case in which there were 250； and in Maclaren's case there were 132。 According to Crocker； Hebra and Rayer also each had a case。 In a case of Sangster； reported by Politzer； although most of the dermoids； as usual； were like fibroma…nodules and therefore the color of normal skin； those over the mastoid processes and clavicle were lemon…yellow； and were generally thought to be xanthoma until they were excised； and Politzer found they were typical dermoid cysts with the usual contents of degenerated epithelium and hair。
Hermaphroditism。Some writers claim that Adam was the first hermaphrodite and support this by Scriptural evidence。 We find in some of the ancient poets traces of an Egyptian legend in which the goddess of the moon was considered to be both male and female。 From mythology we learn that Hermaphroditus was the son of Hermes； or Mercury； and Venus Aphrodite； and had the powers both of a father and mother。 In speaking of the foregoing Ausonius writes； 〃Cujus erat facies in qua paterque materque cognosci possint； nomen traxit ab illis。〃 Ovid and Virgil both refer to legendary hermaphrodites； and the knowledge of their existence was prevalent in the olden times。 The ancients considered the birth of hermaphrodites bad omens； and the Athenians threw them into the sea； the Romans； into the Tiber。 Livy speaks of an hermaphrodite being put to death in Umbria； and another in Etruria。 Cicero； Aristotle； Strabonius； and Pliny all speak concerning this subject。 Martial and Tertullian noticed this anomaly among the Romans。 Aetius and Paulus Aegineta speak of females in Egypt with prolonged clitorides which made them appear like hermaphrodites。 Throughout the Middle Ages we frequently find accounts； naturally exaggerated； of double…sexed creatures。 Harvey； Bartholinus； Paullini； Schenck； Wolff； Wrisberg； Zacchias； Marcellus Donatus； Haller； Hufeland； de Graff； and many others discuss hermaphroditism。 Many classifications have been given； as； e。g。； real and apparent； masculine； feminine； or neuter； horizontal and vertical； unilateral and bilateral； etc。 The anomaly in most cases consists of a malformation of the external genitalia。 A prolonged clitoris； prolapsed ovaries； grossness of figure； and hirsute appearance have been accountable for many supposed instances of hermaphrodites。 On the other hand； a cleft scrotum； an ill…developed penis； perhaps hypospadias or epispadias； rotundity of the mammae； and feminine contour have also provoked accounts of similar instances。 Some cases have been proved by dissection to have been true hermaphrodites； portions or even entire genitalia of both sexes having been found。
Numerous accounts； many mythical； but always interesting； are given of these curious persons。 They have been accredited with having performed the functions of both father and mother； notwithstanding the statements of some of the best authorities that they are always sterile。 Observation has shown that the sexual appetite diminishes in proportion to the imperfections in the genitalia； and certainly many of these persons are sexually indifferent。
We give descriptions of a few of the most famous or interesting instances of hermaphroditism。 Pare speaks of a woman who； besides a vulva； from which she menstruated； had a penis； but without prepuce or signs of erectility。 Haller alludes to several cases in which prolonged clitorides have been the cause of the anomaly。 In commenting on this form of hermaphroditism Albucasiusus describes a necessary operation for the removal of the clitoris。
Columbus relates the history of an Ethiopian woman who was evidently a spurious female hermaphrodite。 The poor wretch entreated him to cut off her penis； an enlarged clitoris； which she said was an intolerable hindrance to her in coitus。 De Graff and Riolan describe similar cases。 There is an old record of a similar creature； supposing herself to be a male； who took a wife； but previously having had connection with a man； the outcome of which was pregnancy； was shortly after marriage delivered of a daughter。 There is an account of a person in Germany who； for the first thirty years of life； was regarded as feminine； and being of loose morals became a mother。 At a certain period she began to feel a change in her sexual inclinations； she married and became the father of a family。 This is doubtless a distortion of the facts of the case of Catherine or Charles Hoffman； born in 1824； and who was considered a female until the age of forty。 At puberty she had the instincts of a woman； and cohabitated with a male lover for twenty years。 Her breasts were well formed and she menstruated at nineteen。 At the age of forty…six her sexual desires changed； and she attempted coitus as a man； with such evident satisfaction that she married a woman soon afterward。 Fitch speaks of a house…servant with masculine features and movements； aged twenty…eight； and 5 feet and 9 inches tall； who was arrested by the police for violating the laws governing prostitution。 On examination； well…developed male and female organs of generation were found。 The labia majora were normal and flattened on the anterior surface。 The labia minora and hymen were absent。 The vagina was spacious and the woman had a profuse leukorrhea。 She stated that several years previously she gave birth to a normal child。 In place of a clitoris she had a penis which； in erection； measured 5 1/4 inches long and 3 5/8 inches in circumference。 The glans penis and the urethra were perfectly formed。 The scrotum contained two testicles； each about an inch long； the mons veneris was sparsely covered with straight； black hair。 She claimed functional ability with both sets of genitalia； and said she experienced equal sexual gratification with either。 Semen issued from the penis； and every three weeks she had scanty menstruation； which lasted but two days。
Beclard showed Marie…Madeline Lefort； nineteen years of age； 1 1/2 meters in height。 Her mammae were well developed； her nipples erectile and surrounded by a brown areola； from which issued several hairs。 Her feet were small； her pelvis large； and her thighs like those of a woman。 Projecting from the vulva was a body looking like a penis 7 cm。 long and slightly erectile at times； it was imperforate and had a mobile prepuce。 She had a vulva with two well…shaped labia as shown by the accompanying illustration。 She menstruated slightly and