The pathology and surgical treatment of tumors . Fig. 469.—Part of cyst-wali from dermoid cystof ovary (after Winckel) : a, canine tooth; b, twomolar teeth. 646 PATHOLOGY AND TREATMENT OF TUMORS. lium (Fig. 470). The contents of such cysts consist of mucus, and incases of long standing the mucus is often converted into a serous fluidand the stroma is apt to undergo myxomatous degeneration. Clinical Aspects.—Ovarian dermoids grow very slowly, but theymay eventually attain great size. The beginning of the growth can. Fig. 470.—Mucous membrane from an ovarian dermoid (after Sutton). usually be tr


The pathology and surgical treatment of tumors . Fig. 469.—Part of cyst-wali from dermoid cystof ovary (after Winckel) : a, canine tooth; b, twomolar teeth. 646 PATHOLOGY AND TREATMENT OF TUMORS. lium (Fig. 470). The contents of such cysts consist of mucus, and incases of long standing the mucus is often converted into a serous fluidand the stroma is apt to undergo myxomatous degeneration. Clinical Aspects.—Ovarian dermoids grow very slowly, but theymay eventually attain great size. The beginning of the growth can. Fig. 470.—Mucous membrane from an ovarian dermoid (after Sutton). usually be traced to the age of puberty. The tumor-matrix participatesin the increased physiological activity observed in the skin and itsappendages at this time. At first the tumor is movable and peritonitis, which undoubtedly occurs frequently in conse-quence of a mild infection, is productive of pain and is followed byadhesions. If the tumor is movable and pedunculated, it may rotateon its axis, thus leading to torsion of the pedicle. This accident resultsin serious disturbances of the circulation in the tumor. If the veinsare more obstructed than the arteries, there results intense venous con-gestion, manifested by pain and by an increase in the size of the the circulation is completely interrupted in acute torsion, gangreneof the tumor and death from septic peritonitis will follow. If the cir-culation is interrupted more gradually, the tumor often receives a newblood-supply from adjace


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectneoplas, bookyear1895