Gynecological diagnosis and pathology . of the tunica albuginea is met with in cases of chronic previous acute inflammation on the surface of the ovary results in acicatricial thickening sufficient to prevent rupture. In other cases thetunica albuginea may be denser than normal, without any sign ofprevious inflammation being present. (2) In some cases it would appearthat the follicle itself is at fault. The ripening process goes on apparentlynormally up to a certain stage and then ceases, and the ovum dies anddisappears. THE CYSTIC OVARY 57 In some eases the formation of lutein al
Gynecological diagnosis and pathology . of the tunica albuginea is met with in cases of chronic previous acute inflammation on the surface of the ovary results in acicatricial thickening sufficient to prevent rupture. In other cases thetunica albuginea may be denser than normal, without any sign ofprevious inflammation being present. (2) In some cases it would appearthat the follicle itself is at fault. The ripening process goes on apparentlynormally up to a certain stage and then ceases, and the ovum dies anddisappears. THE CYSTIC OVARY 57 In some eases the formation of lutein alls in the tunica interna takesplace, and the cysts are surrounded bj a distinct lutein layer. Or afollicle may rupture normally and the corpus luteum remain cystic in thecentre. In those two ways lutein cysts may form. The naked-eye characters of the cystic ovary are seen in Plate I., inwhich the ovary is shown in section. The tube is usually affected withchronic salpingitis, and is thus taken away along with the ovary in the > ^ -%. Fig. 157.—Surface of Cystic Oyaet. In this case there was evidence of a previous inflammatory condition extending fromthe tube. Note the density of the tunica albuginea and the inflammatorydeposit on the surface. operation for removal of the uterine appendages . The structures arerepresented life size and the natural colour reproduced as far as will be noted that the cysts vary considerably in size. The smallerones are always situated immediately under the surface ; the larger onesburrow more into the substance of the ovary. The contents of thecysts is a watery fluid, which coagulates with a formalin fixative (seePlate I. fig. 1). In fig. 2 the contents have fallen out and the cyst wallis seen. When examined with the microscope this wall is found to belined by cells similar to those of the zona granulosa. They may bein one or more layers (fig. 15S). In some the tension inside the cysthas flattened the cells against the wall. Surrou
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
