Aplastic anaemia with carcinoma of the thyroid.

improvements may be explained on the basis of the general weight-loss but the bilateral mastectomy, by increasing the compliance of the chest wall, may also have contributed. It is not considered that this case supports a policy of surgical removal of adipose tissue in all cases of obesity. It is felt, however, that such treatment, namely bilateral mastectomy in post-menopausal obese patients with large pendulous breasts and abdominal dermolipectomy, should be considered as an adjunct to dietary restriction in the grossly obese patient. Acknowledgments