. Clinical gyncology, medical and surgical. f many rules. Precision indiagnosis is the result of two factors,—the exercise of common sense andthe cultivation of the tactus eruditus. The recognition of the presence ofa pelvic or abdominal tumor, and of its probable nature and relations, atonce implies the formation of a definite opinion as to the line of treatmentadvisable under the circumstances. The final decision concerning the per-formance of a radical operation may require counsel, but let the practitioner 621 622 NEOPLASMS OF THE OVARIES, TUBES, AND BROAD LIGAMENTS. at least learn to reco
. Clinical gyncology, medical and surgical. f many rules. Precision indiagnosis is the result of two factors,—the exercise of common sense andthe cultivation of the tactus eruditus. The recognition of the presence ofa pelvic or abdominal tumor, and of its probable nature and relations, atonce implies the formation of a definite opinion as to the line of treatmentadvisable under the circumstances. The final decision concerning the per-formance of a radical operation may require counsel, but let the practitioner 621 622 NEOPLASMS OF THE OVARIES, TUBES, AND BROAD LIGAMENTS. at least learn to recognize that there is a tumor, at such a stage in itsdevelopment as to be operable. In order to gain a clear idea of the origin and mode of developmentof the neoplasms which will be considered in this chapter, the reader mustrefresh his memory in the anatomy of the broad ligament and the organsbetween its folds, especially the upper portion, known as the study of Dorans diagram will suffice for pages of description indicating. Piagram of the structures in and adjacent to the broad ligament, with tumors of the ovary, tube,and broad ligament.—1, Framework of parenchyma of ovary, the seat of (la) simple or glandular mul-tilocular cyst; 2, tissue of hilum, with (3) papillomatous oyst; 4, cyst of broad ligament, independentof parovarium and Fallopian tube; 5, similar cyst in broad ligament above the tube, but not connectedwith it; 6, similar cyst developed close to (7) ovarian fimbria of tube; 8, hydatid of Morgagni; 9, cystdeveloping from horizontal tube of parovarium (cysts 4, 5, 6, 8, and 9 always have a simple endotheliallining); 10, parovarium (the dotted lines represent the inner portion, always more or less obsolete inthe ndult); 11, small cyst developing from a vertical tube; cysts that have this origin, or that springfrom the obsolete portion, have a lining of cubical or ciliated epithelium, and tend to develop papillo-matous growths, as do cysts in (2) the
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