. Gynecology : . Fig. 50.—Elephantiasis is great hypertrophy of the labia majora with a tendency to papillary outgrowth. On theleft thigh can be seen several metastatic papillary excrescences and a scar where some of them hadbeen removed at a previous operation. The treatment of this case was a complete leaves the tissues more hypertrophied (Hill). The disease is more common inmen, affecting the scrotum or lower extremities. In women it is apt to involvethe external genitals. It is quite likely that this form of the disease is identicalwith that described among the Or
. Gynecology : . Fig. 50.—Elephantiasis is great hypertrophy of the labia majora with a tendency to papillary outgrowth. On theleft thigh can be seen several metastatic papillary excrescences and a scar where some of them hadbeen removed at a previous operation. The treatment of this case was a complete leaves the tissues more hypertrophied (Hill). The disease is more common inmen, affecting the scrotum or lower extremities. In women it is apt to involvethe external genitals. It is quite likely that this form of the disease is identicalwith that described among the Orientals. 1 Operation by Dr. F. A. Pemberton, Free Hospital for Women. 232 GYNECOLOGY ¥ v f» . V I • \ .4 \ 4 • r ,• .V * j i-% -• K* i?.; /-«»•?,.• j, # I < • , - »„<!• • ,-: » . 39 « v.; V. •. tiff. Fig. 51.—Elephantiasis of the power. Microscopically, this shows the characteristics of a fibroma. The thin layer ofstratified squamous epithelium in which there are few, poorly developed, or no papillae, lying on aloose connective-tissue stroma, with a few small round cells scattered through the tissue. Nearthe center are two dilated lymph-spaces. KRAUROSIS The term kraurosis is derived from a Greek word meaning to shrink. In thisdisease there is a sclerotic change in the cutis of the vulva. The epidermis be-comes thin and flattened, and there is an increase of connective tissue in thesubcutis, together with a disappearance of elastic fibers and pigment. The resultof this is that the surface of the vulva becomes white and parchment-like and iseasily fissured. In the advanced stages the various parts of the vulva becomeobliterated and shrink to the consistency of .leather. The process may extendto the anus. There is usually a fairly well-marked line of demarcation betweent
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