Transactions of the Southern Surgical and Gynecological Association . uding simple cysts, dermoids,sarcoma and carcinoma. Only two instances, however,have been previously recorded in which the condition wasoperated upon in the first year of life. That the two caseshitherto reported in young infants as well as the authorscase were simple cysts and were first noted at birth or shortlyafterwards suggests that this type of growth may reachconsiderable size in the fetus, and that the earlier in lifethese tumors make their appearance the better the chancesare that the growth is benign rather than ma
Transactions of the Southern Surgical and Gynecological Association . uding simple cysts, dermoids,sarcoma and carcinoma. Only two instances, however,have been previously recorded in which the condition wasoperated upon in the first year of life. That the two caseshitherto reported in young infants as well as the authorscase were simple cysts and were first noted at birth or shortlyafterwards suggests that this type of growth may reachconsiderable size in the fetus, and that the earlier in lifethese tumors make their appearance the better the chancesare that the growth is benign rather than malignant. In a resume of the 60 cases of ovarian tumors occurring inchildren ten years of age and younger reported up to 1904,Weil1 states that 21, or 35 per cent, were dermoids; 19, or cent, cysts, single or multilocular; 15, or 25 per cent,sarcoma, and the remainder carcinomata or cases under the age of ten have been recordedsince Weils report was made. Two were simple cysts, 8dermoids, and 16 malignant—either carcinoma or Fig. 2.—Appearance of patient, aged ten months, after operation. WILLIAM A. DOWNES 345 The youngest recorded case of malignancy in an infant is oneyear and eight months, and of a dermoid two studying the statistics of the 60 cases reported prior to1904 it will be seen that more than 66 per cent, are classed asbenign and 32 per cent, as malignant, whereas of the 26 casesrecorded since that date, 62 per cent, are classed as malignantand 38 per cent, benign. The probable explanation for theapparent discrepancy in these findings is due to the fact thata more careful and thorough microscopical examination wasmade in the later series. Donhauser? of the Bender Labora-tory in 1906 called attention to the importance of makinga careful histologic study of all so-called simple cysts of theovary with the view of deciding the question of comparison of the pathologic findings in the early and lateseries of
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