. Operative gynecology. base,and a feebly staining protoplasm (albumin); then we find long cells with a basalnucleus and a still more feebly staining cell body, the first step in the evolutionof pseudomucin, which at this stage is evenly distributed throughout the cellbody and gives it already a somewhat glassy appearance. The next step is theseparation of the pseudomucin from the protoplasm, the pseudomucin lying inthe periphery, while the protoplasm is crowded down to the base of the cell, theproportion between the two varying with the amount of pseudomucin excreted;some cells appear to be e
. Operative gynecology. base,and a feebly staining protoplasm (albumin); then we find long cells with a basalnucleus and a still more feebly staining cell body, the first step in the evolutionof pseudomucin, which at this stage is evenly distributed throughout the cellbody and gives it already a somewhat glassy appearance. The next step is theseparation of the pseudomucin from the protoplasm, the pseudomucin lying inthe periphery, while the protoplasm is crowded down to the base of the cell, theproportion between the two varying with the amount of pseudomucin excreted;some cells appear to be entirely filled with the pseudomucin. These variousstages are all illustrated in Fig. 410. Pseudomucin is never found in normal ovaries, dropsical Graafian follicles, orin parovarian cysts ; it is found in soine forms of papillary cysts, and is, as stated,the constant characteristic element in the classical glandular ovarian tumors ; itonly occurs in ascitic fluids in the presence of a tumor also containing Fig. 409.—Multiple Adeno-cystomata of the Ovary. Showing the tenacious cliaracter of the pseudomucinous contentsof the small cysts discharging on the inner surface of a larger two openings seen are not artificial. MULTILOCULAE OYARIAH CYST-ADENOMA. 263 Development.—The cysts usually develop and lie free in the abdominalcavity, with a well-marked pedicle formed by the ovarian ligament, the uterinetube, and the broad ligament; and if the tumor is large and exerts much trac-tion, this pedicle will be several inches long. The parovarian is in mostcases intact. Occasionally the development is between the layers of the broad ligament,when they are called intraligamentary cysts; they may then push toward the uterus, toward the bladder,backward into Doug-lass cul-de-sac, and be-tween the layers of theperitoneum under thececum and the rectum. Adhesions betweenthe abdominal visceraand some portion of thecyst are present in acertain proportion ofthe cases; thus
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