. Cyclopædia of obstetrics and gynecology. to acertain class of neoplasmata. Fibrous papillary tumors of the portio vaginalis are not frequent, andmay be characterized as benign growths. They consist of enlarged andproliferating preexisting papillte, and their surface is usually covered withsquamous epithelium. Their fibrous character is shown by the fact thattheir pedicles are composed of connective tissue and muscular fibres. Cellularpathologie, Berlin, 1871, p. 551. PAPILLOMA. 353 Those papillary fibromata thus completely resemble a polypus, par-ticularly in that they seldom attain any cons


. Cyclopædia of obstetrics and gynecology. to acertain class of neoplasmata. Fibrous papillary tumors of the portio vaginalis are not frequent, andmay be characterized as benign growths. They consist of enlarged andproliferating preexisting papillte, and their surface is usually covered withsquamous epithelium. Their fibrous character is shown by the fact thattheir pedicles are composed of connective tissue and muscular fibres. Cellularpathologie, Berlin, 1871, p. 551. PAPILLOMA. 353 Those papillary fibromata thus completely resemble a polypus, par-ticularly in that they seldom attain any considerable size. Their symp-toms are those ofpolypi, viz., hemorrhages and muco-purulent se-cretions. They rarely become gangrenous. They do not recur afterremoval. The purest example of this variety is described by G. Simon un-der the title wing-shaped elongation of the anterior lip with simultaneousabnormal elongation of the entire portio vaginalis of the cervix. Thetumor, which was attached to the hypertrophied anterior lip, was pedicu-. FiG. 39.—Papillary Fibroma with Hypertrophy op the anterior lip op the Os Uteri. (AfterG. Simon.) lated and composed of a layer of dense connective tissue from which closelyapproximated, slender papillae projected. The papillse are covered with a thick layer of epithelium cells, super-imposed upon each other in several strata. There is no trace of folliclesor of mucous glands to be seen. The relations are more complicated andthe diagnosis of the tumor more difficult if the glands are involved in themorbid process. This was the case with the tumor described by Acker-mann,^ as a glandular polypus of the anterior lip. The tumor was as large as an apple, Avas attached by a pedicle to the Monatsschmft fiir Geburtskunde, Virchows Archiv., vol. XLIII., p. IX.—23 p. 241. 354 NEW GROWTHS OF THE UTERUS. anterior lip, and consisted, chiefly of connective tissue, whicli formed thepedicle and the ramifying papillary processes of the ne


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Keywords: ., bo, bookcentury1800, booksubjectgynecology, booksubjectobstetrics