. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Fig. 258.—Portion of a large ovarian adenoma, showing the varieties of , Primary ; d, secondary. histologically are indistinguishable from distended ovarianfollicles (Fig. 258). The primary cysts in their early stages are lined with richcolumnar epithelium, and often contain mucous glands (). The fluid contained in the loculi of ovarian adenomasis identical in its physical and chemical characters with it is as thick and tenacious as jelly. The lining 490 TUMOURS OF THE OVAR
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Fig. 258.—Portion of a large ovarian adenoma, showing the varieties of , Primary ; d, secondary. histologically are indistinguishable from distended ovarianfollicles (Fig. 258). The primary cysts in their early stages are lined with richcolumnar epithelium, and often contain mucous glands (). The fluid contained in the loculi of ovarian adenomasis identical in its physical and chemical characters with it is as thick and tenacious as jelly. The lining 490 TUMOURS OF THE OVARY of the cavities is in many specimens indistinguishable frommucous membrane. In some specimens of ovarian adenomas the secondarylocuH give rise to projections on the periphery of the tumour ;when numerous and close together, these projections causethe tumour to resemble a colossal bunch of grapes. It is nouncommon thing for a loculus of an ovarian adenoma to burstinto the belly. When this happens the mucus which escapes. Fio;. 259. -Section of the wall of a loculus from an ovarian adenoma, showing theglandular disi^osition of the epithelium. is tolerated, but not absorbed, by the peritoneum. When therent in the loculus is not repaired the glands in its wallscontinue to secrete, and the mucus accumulates in the belly,simulating hydroperitoneum. On one occasion I removedfrom a womans belly three gallons of inspissated mucusof this kind which had been secreted by an ovarian aden-oma no bigger than a coco-nut. The belly was so tightlystuffed with this jelly-like material that it had produced ahernial protrusion at the umbilicus and the left femoral ring,the sac in each case beinof crammed with thick mucus. OVARIAN GYSTS 491 Ovarian cysts with ciliated epithelium.—As a rule theepithelium found in the type-forms of ovarian adenomasis tall and columnar, and it- may be ciliated (Fig. 261). In1905 I removed a fist-sized unilateral ovarian tumour froma woman 45 years of age, and its
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
