. Operative gynecology. patients had an ovarian tumor of this kind, weighing one hundredand sixteen pounds, and had not seen her feet or knees for months. Anotherpatient had a large ovarian cyst added to her natural stoutness. (See also , p. 83, Fig. 52.) The average girth of these large tumors, as illustrated by measuring six pa-tients with large ovarian cysts, was 108 centimeters (43-2 inches), the largestmeasurement being 123 centimeters (?i92 inches); when the circumference ex-ceeds 100 centimeters (40 inches) the measurement does not indicate exactly thesize of the tumor, as the subs
. Operative gynecology. patients had an ovarian tumor of this kind, weighing one hundredand sixteen pounds, and had not seen her feet or knees for months. Anotherpatient had a large ovarian cyst added to her natural stoutness. (See also , p. 83, Fig. 52.) The average girth of these large tumors, as illustrated by measuring six pa-tients with large ovarian cysts, was 108 centimeters (43-2 inches), the largestmeasurement being 123 centimeters (?i92 inches); when the circumference ex-ceeds 100 centimeters (40 inches) the measurement does not indicate exactly thesize of the tumor, as the subsequent distention is apt to take place downward. Symptoms.—Pressure symptoms are always produced by the growingtumor sooner or later. Whether they apj^ear early or not depends on the form,consistence, and attachments of the tumor. It is remarkable that in many caseslarge tumors are carried without any greater inconvenience than the other cases pressure on the bladder and rectum interferes with their func-. Fig 411—rAi-iLLuMATV oi Hum Ovaries, seen in situ fhom behind. un the lett side a series oi muiDerry masses are seen hangmg from a delicate pedicle attached to the Fallopian tube; on theright the ovary is transformed into a mulberry mass, and inside a cyst two masses are seen sprouting. No. 595. Natural size. PAPILLARY TUMORS OF THE OVARY. 265 tions, and by pressure on one or botb ureters, hydroureter and hydronephrosisare produced; albumin and casts with dysuria were noted in 50 per cent ofmy cases. These often disappear within a short time after the operation. In tlie large tumors there is often marked interference with digestion, accom-panied by flatulence, nausea, and vomiting. The respiratory and circiilatory functions are interfered with by the visceracrowded up under the diaphragm. Other evidences of pressure are the edemaof the legs, lower abdomen, and vulva, and the development of the superficialabdominal veins. The distention of the abdomen also produc
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
