. Tumours, innocent and malignant; their clinical characters and appropriate treatment. able not only to dominate menstruationbut to discharge their egg-bearing functions successfully (seeCullingworth, Thornton, and F. Page). Bilateral ovariandermoids have been observed in a woman of 92; she was themother of six children (Pollock). Rate of growth of ovarian adenomas and dermoids.—Concerning the rate of growth of these tumours very littleis known. Therefore the following observations may be ofinterest:— 1. Ovarian adenoma. — In May, 1901, I removed from a OVARIAN DERMOIDS 495 woman 45 years of


. Tumours, innocent and malignant; their clinical characters and appropriate treatment. able not only to dominate menstruationbut to discharge their egg-bearing functions successfully (seeCullingworth, Thornton, and F. Page). Bilateral ovariandermoids have been observed in a woman of 92; she was themother of six children (Pollock). Rate of growth of ovarian adenomas and dermoids.—Concerning the rate of growth of these tumours very littleis known. Therefore the following observations may be ofinterest:— 1. Ovarian adenoma. — In May, 1901, I removed from a OVARIAN DERMOIDS 495 woman 45 years of age a typical left ovarian adenoma otthe size of a football; it was full of the usual colloid right ovary was very carefully examined and found tobe normal. In February, 1903, I removed from the samepatient an ovarian adenoma of the size of a football, whichhad originated in the right ovary. Thus a complex glandular tumour of the size of a footballmay grow from an ovary apparently normal in twenty-one months. 2. Ovarian dermoid. — The following case is recorded by. Fig. 263.—Enormous ovarian cyst in a girl 17 years of age; it contained78 litres of fluid. {After Bcnjot.) Flaischlen : In May, 1887, Ruge ovariotomized a woman,removing a cyst, as large as a childs head, which had arisenin the left ovary. The right ovary was inspected and foundto be natural. In June, 1888, a tumour the size of a fist was detected onthe right side of the pelvis. In December, 1890, laparotomy-was again performed, and a dermoid, containing hair andteeth, removed. In this case the evidence is decisive that a dermoid mayarise in the ovary and attain dangerous proportions in woman tuithin the space of three years. That a tumour containing hair and erupted teeth should beproduced in the course of three years is not inconsistent withthe rate at which these organs are formed under normalconditions. For instance, the period between the fertilization 498 TUMOURS OF THE OVARY of an


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19