. Diseases of women. A clinical guide to their diagnosis and treatment. bes (Fig. 198). They are called, with equalcorrectness, simple broad ligament cysts because they aresimple and develop in the broad ligament. Doran, whoseexperience and skill entitle his opinion to respect, holdsthat these cysts arise in the broad ligament apart fromthe parovarium (see Fig. 197). If he be right, the latteiof the two names is the only correct one. Morbid anatomy.—The distinctive marks of these tumoursare: (1) The ovary is usually attached to the side of the cyst OVARIAN TUMOURS. 729 (Fig. 199). (2) The Fall
. Diseases of women. A clinical guide to their diagnosis and treatment. bes (Fig. 198). They are called, with equalcorrectness, simple broad ligament cysts because they aresimple and develop in the broad ligament. Doran, whoseexperience and skill entitle his opinion to respect, holdsthat these cysts arise in the broad ligament apart fromthe parovarium (see Fig. 197). If he be right, the latteiof the two names is the only correct one. Morbid anatomy.—The distinctive marks of these tumoursare: (1) The ovary is usually attached to the side of the cyst OVARIAN TUMOURS. 729 (Fig. 199). (2) The Fallopian tube is stretched across thetop of it, and if the tumour is large, the tube is elongated,and the mesosalpinx thickened. (3) The peritoneum iseasily stripped off. (4) The fluid is clear, limpid, straw-coloured, of specific gravity of 1010 or less. (5) Thesetumours are generally unilocular. When small, the walls of these cysts are thin and trans-lucent; when large, the walls are thicker. They are, whensmall, lined with columnar epithelium; but when larger, this. Fig. 199.—Simple broad ligament cyst, in the opinion of Doran ; but by some calledparovarium. From nature. {After Doran.) becomes first stratified from pressure, and then fluid contains albumin; they are often big enough k)hold several pints of fluid, but do not get so big as some othertumours. They are never met with in children. Accordingto Bland Sutton, they form about 10 per cent, of the tumoursdiagnosed clinically as ovarian cysts. Clinical features.—From the fact that simple parovarianor broad ligament cysts are never seen very big, it is probablethat if let alone they would reach a certain size and thencease growing. At the present day no competent observerwaits to see; for until the belly is opened these tumourscannot be distinguished from those which do not stop grow-ing. From this peculiarity it happens that these tumours,when tapped, or accidentally burst, are sometimes cured; theflu
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