. Gynecology : . o-epithelioma. Rarely the tumor isprimary in the vagina; it usually represents a metastasis from a primary growthin the uterus. VAGINAL CYSTS Small cysts of the vaginal wall are comparatively common. They vary insize from that of a hazelnut to an English walnut, though rarely they may becomevery large, extending upward into the broad ligament. They usually appear on ?MV GYNECOLOGY the anterior wall and may be single or multiple. They occur at any ago, evenin childhood, and first make themselves evident by protruding from the etiology of those cysts is somewhat va
. Gynecology : . o-epithelioma. Rarely the tumor isprimary in the vagina; it usually represents a metastasis from a primary growthin the uterus. VAGINAL CYSTS Small cysts of the vaginal wall are comparatively common. They vary insize from that of a hazelnut to an English walnut, though rarely they may becomevery large, extending upward into the broad ligament. They usually appear on ?MV GYNECOLOGY the anterior wall and may be single or multiple. They occur at any ago, evenin childhood, and first make themselves evident by protruding from the etiology of those cysts is somewhat varied. Undoubtedly many of thornaviso from gland-inclusions formed by infoldings of the mucous membrane infetal life. This accounts for the smaller cysts. Some of the larger ones probablyhave their origin in Gartners duct. In cases of narrow or unilateral vaginait is thought that cysts may arise from glandular structures representing theundeveloped Mullors duet of the other side. Multiple cysts of the vagina are. Fig. 7S.— Vaginal ow power. On the surface is a covering .of well-developed stratified squamous lies on connective tissue through which are scattered bundles of smooth muscle-fibers and manyblood-vessels. less common than the single cysts. If they occur in a line they are supposed tooriginate from Gartners duet, while if they are irregularly placed they prob-ably develop from vaginal gland inclusions. The small vaginal cysts do not ordinarily give subjective symptoms, but inmarried women they often interfere with coitus and sometimes with childbirth. The diagnosis of vaginal cysts is extremely easy, there being little else withwhich they could be confused. The cysts have a thin wall lined with a singlelayer of epithelium and contain a clear serous fluid. NEW GROWTHS 301 The treatment is operative. The smaller cysts can usually be shelled outwith comparative ease, though care must be exercised not to injure the larger cysts, es
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