Gynaecology for students and practitioners . dure the operator may subsequently find it desirableto adopt. NEW GROWTHS OF THE TUBES The majority of new growths of the tube—sarcoma, myoma, lym-phangioma, teratoma, papilloma and carcinoma, are very rare andtheir nature will not be diagnosed before operation. About onehundred and forty primary carcinomata and eighteen cases ofchorion-epithelioma have been recorded. Of these papilloma, car-cinoma, and chorion-epithelioma are most important clinically. NEW GROWTHS OF THE TUBES 635 Primary Tubal Papilloma. The term papilloma was first appliedby Dora
Gynaecology for students and practitioners . dure the operator may subsequently find it desirableto adopt. NEW GROWTHS OF THE TUBES The majority of new growths of the tube—sarcoma, myoma, lym-phangioma, teratoma, papilloma and carcinoma, are very rare andtheir nature will not be diagnosed before operation. About onehundred and forty primary carcinomata and eighteen cases ofchorion-epithelioma have been recorded. Of these papilloma, car-cinoma, and chorion-epithelioma are most important clinically. NEW GROWTHS OF THE TUBES 635 Primary Tubal Papilloma. The term papilloma was first appliedby Doran in 1879 to an exuberant morbid growth arising from themucosa of the Fallopian tube. Sixteen cases of benign papillomahave been recorded. It arises in the form of numerous villousprocesses or papillae {see Fig. 345). These papillae possess a centralcore of connective tissue, from which proceed multiple branches,which in their turn may again divide so that a racemose villousgrowth {see Fig. 347) is produced which eventually fills and dis-. FiG. 345. A Fallopian Tube enlarged and dilated by masses of Papillo-matous Growths, which spring from the Mucous Membrane (HubertRoberts). They have not rendered the tube impervious, and a bristle is passedcompletely through it from the uterine end to the fimbriated extremity. Nosecondary deposits were found, and the patient was known to be alive twenty-threa years after the operation. (1) Uterine end of tube. A bristle is passedthrough this to the fimbriated extremity. (2) Bristle issuing from fimbriatedextremity of tube. (.3) Ovary, which is healthy. A small pedunculated cystbelow the tube near the ovary. (4) Wall of tube, turned down to show growthis seen inside. (5, 5) Masses of papillomatous growth filling the tube. tends the tube without invading its walls. As a result of distensionby the growth the tube-walh are ultimately thinned {see Fig. 345).The tube may attain a large size without closure of the abdominalostium taking place. Th
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
