Gynecology . power. Cross-section of the clitoris. Around the edge is the stratified squamous epithe-lium. Beneath this and scattered through the stroma are dilated blood- and lymph-spaces. Thehypertrophy in the stroma consists of an increase in connective tissue and the corpora cavernosacannot be made out distinctly. penis, but not perforated by a urethra. It is sometimes advisable to excise theorgan in such cases, expecially if it is a source of irritation. An acquired hyper-trophy of the clitoris is occasionally seen, which is thought to be caused by mas-turbation. There is dou
Gynecology . power. Cross-section of the clitoris. Around the edge is the stratified squamous epithe-lium. Beneath this and scattered through the stroma are dilated blood- and lymph-spaces. Thehypertrophy in the stroma consists of an increase in connective tissue and the corpora cavernosacannot be made out distinctly. penis, but not perforated by a urethra. It is sometimes advisable to excise theorgan in such cases, expecially if it is a source of irritation. An acquired hyper-trophy of the clitoris is occasionally seen, which is thought to be caused by mas-turbation. There is doubt, however, whether masturbation produces the hyper-trophy or whether the hypertrophy is not rather the primary condition, causing 250 GYNECOLOGY masturbation by irritative influence. Certain it is that masturbation sometimesresults in atrophy of the clitoris (Ktistner). Hypertrophy, if it becomes trouble-some, requires a clitoridectomy. Removal of a normal clitoris for masturbation is of questionable Fig. 69.—Hypertrophy of the power. Along the edge of the section is the squamous epithelium. Many blood-vessels fullof corpuscles are seen throughout the stroma, and to the right are several dilated darker areas are small bundles and muscle-fibers scattered through the stroma. Carcinoma of the clitoris is occasionally met with. It follows the courseand demands the surgical treatment of any cancer of the vulva, namely, com-plete vulvectomy and dissection of the inguinal regions. TUMORS OF THE VAGINA SARCOMA OF THE VAGINA Sarcomata of the vagina are comparatively rare tumors. Two forms are tobe distinguished: (1) Those which occur in children and (2) those which appearin adult life. NEW GROWTHS 251 The sarcomata of children are usually congenital, and are thought (Wilms) tohave their origin in off-shoots of the mesoderm which become detached duringthe early growth of the Wolffian duct. Histologically, these tumors are primarilycomposed of my
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