Gynaecology for students and practitioners . fferent periods of life. Thusin childhood the organ is smooth, solid, about the size of an unshelledalmond, and on microscopic examination is seen to contain enormousnumbers of primordial follicles with some complete, and a few im-perfectly ripened ones ; but, as Stevens has shown, rupture of thesefollicles does not occur. In adult life the ovary is larger, pinkish incolour, often contains several small cysts which bulge upon its surface,and microscopically presents large numbers of complete follicles invarious stages of the ripening process, in add
Gynaecology for students and practitioners . fferent periods of life. Thusin childhood the organ is smooth, solid, about the size of an unshelledalmond, and on microscopic examination is seen to contain enormousnumbers of primordial follicles with some complete, and a few im-perfectly ripened ones ; but, as Stevens has shown, rupture of thesefollicles does not occur. In adult life the ovary is larger, pinkish incolour, often contains several small cysts which bulge upon its surface,and microscopically presents large numbers of complete follicles invarious stages of the ripening process, in addition to recent or oldcorpora lutea. The stroma is highly cellular. In advancing age the THE OVARY 47 ovary is smaller than at any other period, hard in consistence, whiteand shrivelled ; on microscopic examination no follicles can be foundin it, but hyaline areas representing old corpora albicantia may beseen ; the stroma consists largely of well-formed, wavy fibrous tissue,and the arteries show either thickening of their walls or complete. Fig. 33. The Ovary of a Womaiv of 56. A, Cortex; B, Medulla. TheGraafian follicles have entirely disappeared, and the cortex contains a largeproportion of fibrous tissue. obliteration from endarteritis. The capsular epithelium can some-times be demonstrated even in old women, but the cells are then nearlyflat instead of cubical. The Epobphoron or Parovarium. The parovarium or organ ofRosenmiiller is a vestigial structure, situated between the layers of theupper part of the broad ligaments, usually named the corresponds to the epididymis and the vas deferens in the male,and is accordingly developed from part of the Wolffian body and theWolffian duct. In the broad ligament of an adult woman it canreadily be seen with the naked eye by separating tube and ovary fromone another, and allowing a good light to pass through the translucentmesosalpinx {see Fig. 34). In the child it is ill-formed, but grows steadily 48 GYNECOLOGY there
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
