. The pathology and treatment of diseases of the ovaries. llows: • I am inclined to say, as the result of many examinationsof different specimens of ovarian fluid, that the most constantcharacteristic of such fluid is its containing, in greater or lessabundance, cells gorged with granules, and, in addition, circum-ambient granules having the same measurements as those en-compassed by the cell-wall. At one time I considered the sizeof these granules was constant, but subsequent observations haveconvinced me of the incorrectness of this conclusion. The sizeof the gorged cells and of the granules
. The pathology and treatment of diseases of the ovaries. llows: • I am inclined to say, as the result of many examinationsof different specimens of ovarian fluid, that the most constantcharacteristic of such fluid is its containing, in greater or lessabundance, cells gorged with granules, and, in addition, circum-ambient granules having the same measurements as those en-compassed by the cell-wall. At one time I considered the sizeof these granules was constant, but subsequent observations haveconvinced me of the incorrectness of this conclusion. The sizeof the gorged cells and of the granules varies greatly, even in thefluids from different cysts of the same ovary. In the presentstate of our knowledge I do not think we are justified in assert-ing that the nature of the fluid would be diagnostic of the dis-ease which gives rise to its production. What I believe to bethe value of a microscopical examination of the fluid is that itmay serve to strengthen an opinion, but alone it ought not todecide one. ^^•^eCo G . i «V© »<»;. O o OVARIATT TUMORS, CONDITIONS WHICH SIMULATE THEM. 147 We may also find, from the observations of De Sinety andMelassez, a confirmation of what I advanced many years ago ina discussion upon tliis subject: that there was no kind of cell ofepithelial origin that it was not possible to obtain from the cyst-cavities of an ovarian tumor. In the last paragraph quoted from the French authors thereis a most concise description of what must also be regarded as atendency to malignant growth; that is, the reversion of type inthe production of these cells toward immature, incomplete, andrapidly growing elements which are practically cancerous. This of course at once explains the clinical fact which all ova-riotomists are quite familiar with, and to which Dr. Keith hasespecially drawn attention—that the rupture of certain cysts, onthe escape of their fluid into the peritoneal cavity, is followed by,or at least is associated with, the infection
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectovarian, bookyear1883
