Gynaecology for students and practitioners . mptoms of suppurationare pain, rapid enlargement of the sweUing, redness, oedema andtenderness of the integumentary coverings ; a moderate rise of tempera-ture to 100° F. or 101° F. is also usually present. The ^rea^mew^ will bedescribed on p. 836. Tuberculosis of Bartholins gland is very rare. Two cases havebeen recorded. New Growths of Bartholins Gland. Solid tumours of Bartholinsgland are rare. Within the limits of our own knowledge they areconfined to adenoma, endothelioma and adenocarcinoma. MORBID CONDITIONS OF BARTHOLINS GLAND 367 TheTtumour
Gynaecology for students and practitioners . mptoms of suppurationare pain, rapid enlargement of the sweUing, redness, oedema andtenderness of the integumentary coverings ; a moderate rise of tempera-ture to 100° F. or 101° F. is also usually present. The ^rea^mew^ will bedescribed on p. 836. Tuberculosis of Bartholins gland is very rare. Two cases havebeen recorded. New Growths of Bartholins Gland. Solid tumours of Bartholinsgland are rare. Within the limits of our own knowledge they areconfined to adenoma, endothelioma and adenocarcinoma. MORBID CONDITIONS OF BARTHOLINS GLAND 367 TheTtumour it It (a) Adenoma has once been met with by one of at the vulva in the same way as a Bartholinian cystwas of firm consistence, rounded in shape, and the size of a caused no discomfort except on coitus. There was no indurationaround it. The tumour shelled out quite easily. On naked-eyesection it had a similar appearance to an adenoma of the breast. Itwas quite solid except for a small hgemorrhagic spot in the Fig. 180. Endothelioma of BAHTHOLESfs Gland. Microscopically it consisted of racemose gland-tissue within fibroustrabeculse. (6) Endothelioma. This tumour is very rare in the Bartholiniangland. It differs in no way from this type of growth when found inother glands such as the parotid {see Fig. 180). (c) Adenocarcinoma. This again is a very rare disease. The ageat which it occurs is given as between twenty-eight and ninety years,half of the cases occurring after the age of fifty years. HerbertSpencer has recorded one case ; in that instance the columnar-celledgrowth appeared to have started in the deep part of the principalduct. Signs. Its first appearance is that of a tender, hard, nodular swell-ing in the region of the gland. The skin is sometimes discolouredand there may be local oedema, especially in the region of the skin eventually becomes perforated and a large fungating mass 368 GYNAECOLOGY protrudes on the surface. The gr
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
