Diseases of the ovaries : their diagnosis and treatment . s formed, and has divided them into three classes : The first and most frequent manner in which secondary cystsare formed (occurring in ten out of fifteen specimens) is theresult of the production of a series of glandular structures, pre-senting a tubular type, on the inner wall of the parent cyst. describes the mode of formation of these glands as differingfrom those of other glands, which for the most part originate inthe embryo as diverticula from surfaces. The process in thiscase commences with a stratification of the epithel
Diseases of the ovaries : their diagnosis and treatment . s formed, and has divided them into three classes : The first and most frequent manner in which secondary cystsare formed (occurring in ten out of fifteen specimens) is theresult of the production of a series of glandular structures, pre-senting a tubular type, on the inner wall of the parent cyst. describes the mode of formation of these glands as differingfrom those of other glands, which for the most part originate inthe embryo as diverticula from surfaces. The process in thiscase commences with a stratification of the epithelium, intowhich project papillae formed of the stroma of the wall ofthe parent cyst, each papilla carrying a delicate vascular more or less densely clustered are thus formed, whichmay persist as such, and then, according to Drs. Wilks,Friedreich, and Luschka, may become covered with ciliatedepithelium : but in a large number of cases they become convertedinto tubular structures by the upward growth of the stroma 46 WILSON FOX ON OVARIAN around their bases. Cysts may be formed while they are thussituated on the surface, from the occlusion of their orifices bymutual pressure ; but most commonly thegrowth of the stroma, by which this tubularcharacter was first determined, continues untilthey are completely imbedded in the wall andcovered by a fresh layer of the stroma, the sur-face of which may again become the seat of anew and similar growth of glands and of glands thus imbedded are dilatedinto cysts by their own secretion, and form thesmall semi-solid masses which project into theinterior of the parent cysts, and in them similar processes maybe repeated indefinitely. Dr. Fox believes that he has tracedin the variations between the relative growths of the stromaand these glands, which I have described in the Transactions ofthe Pathological Society, vol. xiv. p. 205, as Fibro-Epithelioma,or Alveolar Adenoid Tumour, the source of those varietiesin the
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