. American journal of obstetrics and gynecology. cose veins. The clitoris formed a blueswelling the size of an acorn. The left side was unaffected. Thetumor removed at operation showed on microscopic section numeroustelangiectatic veins (Figs. 1 and 2). •Read at the Fortv-eighth Annual Meeting of the American GjTiecoIogical Society,Hot Springs, Va., May 21-23, 1923. 408 THE AMERICAN JOCRNAL OF OBSTETRICS AND GYNECOLOGY 3. Lymphangiectatic Hypertrophy of the Vulva on a Basis of NevusTJnius Lateralis.—This unique condition seen in a girl sixteen yearsold at the Barnard Free Skin and Cancer Hospi
. American journal of obstetrics and gynecology. cose veins. The clitoris formed a blueswelling the size of an acorn. The left side was unaffected. Thetumor removed at operation showed on microscopic section numeroustelangiectatic veins (Figs. 1 and 2). •Read at the Fortv-eighth Annual Meeting of the American GjTiecoIogical Society,Hot Springs, Va., May 21-23, 1923. 408 THE AMERICAN JOCRNAL OF OBSTETRICS AND GYNECOLOGY 3. Lymphangiectatic Hypertrophy of the Vulva on a Basis of NevusTJnius Lateralis.—This unique condition seen in a girl sixteen yearsold at the Barnard Free Skin and Cancer Hospital was also congen-ital. A small reddish area was noted by her mother at birth. Eight-een months later it became more prominent. The tumor grew morerapidly after the age of thirteen when menstruation began and con-tinued at intervals of from 6 to 8 weeks. Salves and washes had beenemployed by the girl to relieve the irritation produced by the profusemilky-white vulval discharge. On examination the right labium majus and minus together with. Fig. 1.—Telangiectatic angioma of the right labia ami clitoris. half of the clitoris was converted into a thickened irregular swell-ing with a few warty projections about the prepuce (Fig. 3). Theperi-anal skin on the right side was also thickened and showed papil-lary striking was the exactness with which thelesion was limited to the right side. The lesion in the crural foldswas, as confiriiicd by l)iopsy, only a secondary dermatitis resultingfrom the irritating lymphorrheal discharge. Of further interest wasthe fact that a unilateral nevus was also present upon the lips andtongue of this girl. The hypertrophic labial mass was removed sur-gically and microscopic section showed a combination of eondylom-atous epithelial proliferations with marked lymphangiectatic swell- TAUSSIG: PATHOLOGY OP VULVAR DISEASES 409
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