Gynecological diagnosis . ant diagnostic feature ofmalignancy of bladder tumors is the infiltration of the underlyingbladder wall, and that the recurrence of epithelial tumors doesnot mean necessarily that they are malignant. The electric cys-toscope with water-distended bladder is especially well adapted tothe inspection of bladder tumors and very beautiful pictures areobtained of the villi of a papillomatous growth floating in thebladder fluid like the tentacles of a sea anemone. 31 482 DISEASES OF THE BLADDER Benign Tumors Papilloma.—Papillomata are the most common of all vesicaltumors. The
Gynecological diagnosis . ant diagnostic feature ofmalignancy of bladder tumors is the infiltration of the underlyingbladder wall, and that the recurrence of epithelial tumors doesnot mean necessarily that they are malignant. The electric cys-toscope with water-distended bladder is especially well adapted tothe inspection of bladder tumors and very beautiful pictures areobtained of the villi of a papillomatous growth floating in thebladder fluid like the tentacles of a sea anemone. 31 482 DISEASES OF THE BLADDER Benign Tumors Papilloma.—Papillomata are the most common of all vesicaltumors. The name papilloma is given to pedunculated tuftedtumors, but the shape does not necessarily indicate their patho-logical structure, so that it happens that papilloma, although com-monly made up of submucous connective tissue—a fibroma, andtherefore benign—may be an outgrowth of the epithelial tissueof the mucosa and therefore malignant. The benign papillomais made up of a framework of connective tissue richly supplied. Fig. 190.—Papilloma (Fibroepithelioma) of the Bladder. (Knorr.) with blood-vessels and covered with pavement bladder has a branching, villous appearance, the villi are often of extremethinness and resemble chorionic villi, or they may be short andstunted and some may be covered with white phosphatic villi may be so short that a papillomatous growth may appearthrough the cystoscope to be smooth on first inspection; in this eventit looks white, differing from the smooth reddish or reddish-whitesurface of an epithelioma. These growths are generally single intheir early stages and the base never reaches downward beyond thesubmucosa. They vary in size from a pea to a hens egg, the latterbeing rare, and are more commonly found in the neighborhood ofthe ureteric orifice, outside the trigone. The mouth of the ureter NEW GROWTHS OF THE BLADDER 483 nearer the tumor is reddened and is converted into a furrow insteadof being a little slit. Th
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectwomen, bookyear1910
