Treatise on gynaecology : medical and surgical . preparation of the specimen; in one .epot alone we can see a small mass of cells. The stroma is fibrousand contains a number of round and spindle-shaped connective-tissue cells. by the bursting of the superficial cysts. We may then assert thatsuperficial papilloma of the ovary is merely the product of the dehis-cence of very small superficial papillary cysts. This will explain thecases sometimes found of a papillary cyst upon one side, and a papil-loma of the ovary upon the other.^ PATHOLOGICAL ANATOMY OF OVAKIAN CYSTS. 91 Papillary cysts are of
Treatise on gynaecology : medical and surgical . preparation of the specimen; in one .epot alone we can see a small mass of cells. The stroma is fibrousand contains a number of round and spindle-shaped connective-tissue cells. by the bursting of the superficial cysts. We may then assert thatsuperficial papilloma of the ovary is merely the product of the dehis-cence of very small superficial papillary cysts. This will explain thecases sometimes found of a papillary cyst upon one side, and a papil-loma of the ovary upon the other.^ PATHOLOGICAL ANATOMY OF OVAKIAN CYSTS. 91 Papillary cysts are often Ionnd witliin the folds of the broad liga-ment, for they arise from the remains of the Wolffian bodies, or fromthe hilum of the ovary into which these vestiges penetrate (Doran);originating thus from the border of the ovary, the tumor in develop-ing naturally insinuates itself into the ligamental folds. In thisposition they grow more slowly, and also give rise to symptoms ofcompression, as do all intra-ligamental growths, bound down against. Fig. 24.—Papillary Ovakian Cyst (Wydbr). (Section from a tumor filled witli cauliflower vegeta-tions which in several places penetrate into the walls.) The cystic cavities are separated by dense connec-tive tissue. A few vascular and branching fibrous bundles rise from the cyst walls and project into the •cavity, giving it a cauliflower or papillary appearance. They are covered by a single layer of medium-sized columnar cells. (In some cavities of the cyst there were no papillEe; the walls were smooth or hada few small and non-branched projections.) A viscid milky fluid filled some of the loculi; in some the fluidwas clear. the pelvic walls: The xjapillary vegetations may penetrate the cap-sule not only in the direction of the peritoneal cavity, but below,causing adhesions betw^een the cyst and the pelvis, bladder, rectum, oruterus. The fundus uteri has been invaded by such growths.^ It is not a very rare occurrence to find calcareo
Size: 1712px × 1460px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdec, booksubjectgynecology, booksubjectwomen
