Gynecology . Fig. 44.—Condylomata Acuminata. In this case the excrescences are collected into discrete masses. Usually the condylomata are more widely scattered over the vulva and surrounding parts. located on both labia. The initial lesion may be situated on any part of theexternal genitals, but it is found most commonly near the frenulum, the clitoris,and the inner surfaces of the labia minora. The lesions are apt to be associated with hard edema of the surrounding parts GENERAL INFLAMMATORY PROCESSES 185 and extensive erosions. Indolent buboes are felt in both groins, while latersecondary e
Gynecology . Fig. 44.—Condylomata Acuminata. In this case the excrescences are collected into discrete masses. Usually the condylomata are more widely scattered over the vulva and surrounding parts. located on both labia. The initial lesion may be situated on any part of theexternal genitals, but it is found most commonly near the frenulum, the clitoris,and the inner surfaces of the labia minora. The lesions are apt to be associated with hard edema of the surrounding parts GENERAL INFLAMMATORY PROCESSES 185 and extensive erosions. Indolent buboes are felt in both groins, while latersecondary efflorescent manifestations follow. Owing to the local edema, multiple ulcerations, and erosion of the primaryaffection syphilis may be confounded with elephantiasis, tuberculosis, andesthiomene. The diagnosis may be made absolute by finding the Spirochsetapallida and by a positive Wassermann Fig. 45.—Condylomata Acuminata power. Section of a complete condyloma showing how the papillae of the corium hyper-trophy, growing outward, carrying the epithelium with them, giving the whole a wart-like appear-ance. The stroma beneath contains many dilated blood- and lymph-vessels. Condylomata Acuminata.—These are warty or papillary excrescences thatappear on the labia and surrounding parts of the external genitals. Their originis usually venereal and nearly always the result of gonorrhea. They have theform of pointed papillae, and are termed acuminata to distinguish them fromthe broad condylomata that result from syphilis. These warty growths appearin clusters mostly on the major and minor lips of the vulva. Other warts, eithersingly or in clusters, are sown about over the neighboring parts of the buttocksand thighs. They may even invade the vagina for a short distance. Sometimesthe clusters become very large. The condition is frequently mistaken for cancer, 186 GYNEC
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