. Clinical gyncology, medical and surgical. anges in the cyst-wall might he derived froma careful examination of the fluid withdrawn through an aspirating is also room for considerable bacteriological work in this direction, inorder to throw more light upon the septic character of fluids which macro-seopieally appear innocent, while others which present a suspicious appear-ance cause no irritation when they escape into the peritoneal cavity. (c) (//^•^^• of the Paroophoron ; Papillomatous Cysts.—Doran refers allpapillomatous cysts to the hilum of the ovary, explaining the presence
. Clinical gyncology, medical and surgical. anges in the cyst-wall might he derived froma careful examination of the fluid withdrawn through an aspirating is also room for considerable bacteriological work in this direction, inorder to throw more light upon the septic character of fluids which macro-seopieally appear innocent, while others which present a suspicious appear-ance cause no irritation when they escape into the peritoneal cavity. (c) (//^•^^• of the Paroophoron ; Papillomatous Cysts.—Doran refers allpapillomatous cysts to the hilum of the ovary, explaining the presence ofpapillary growths in oophoritic glandular cysts by the presence of remnantsof the epithelium of the Wolffian body in the stroma of the docs not go quite so far as this, but believes that the majorityof papillomatous cysts spring from the paroophoron. Williams, on thecontrary, thinks that they arc derived cither from the germinal epithe-lium or from the Graafian follicle,—a view which harmonizes with the Fig. Papillomatous ovarian cyst. (Museum of the College of Physicians and Surgeons.) theory already proposed, that all ovarian cysts are of follicular origin. Thetwo former observers hold that papillary cysts developing from the hilumtend to invade the broad ligament, as distinguished from those originatingin the parenchyma, which leave it intact. Without entering further intothe discussion of their mode of origin, it is sufficient to say that thesecysts seldom attain a large size as compared with the glandular variety, andpresent a similar appearance externally, except when the papillary growthshave perforated the cyst-wall. On section they are seen to be filled withdendritic masses, varying in size from that of a millet-seed to that of theti>t, and either sessile or having long, slender pedicles. According to theirvascularity, they may present a whitish or a reddish color. They arc softand friable, sometimes having a gritty feel from the pre
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