The diseases of women : a handbook for students and practitioners . Sgsfc ®&w Fig. .—Microscopic characters of hair, sebaceous glands, and sweat-glands from an ova-rian dermoid (A. E. G.). The contents of a dermoid usually consist of a pultaceousmixture of shed epithelium, fat, and shed hair. In somecomplex multilocular dermoids some of the loculi containmucous membrane and are filled with mucus ; others pos-sess hairs; and a few may be quite barren. It is impossible to determine in many cases, from a merenaked-eye examination, whether an oophoronic tumorshould be regarded as an adenoma or a d
The diseases of women : a handbook for students and practitioners . Sgsfc ®&w Fig. .—Microscopic characters of hair, sebaceous glands, and sweat-glands from an ova-rian dermoid (A. E. G.). The contents of a dermoid usually consist of a pultaceousmixture of shed epithelium, fat, and shed hair. In somecomplex multilocular dermoids some of the loculi containmucous membrane and are filled with mucus ; others pos-sess hairs; and a few may be quite barren. It is impossible to determine in many cases, from a merenaked-eye examination, whether an oophoronic tumorshould be regarded as an adenoma or a dermoid. In prac- DISEASES OF THE OVARIES. 267 tice the presence of a tuft of hair or a tooth is a useful andready way of settling the question. Failing this, a carefulmicroscopical examination is Fig. 90.—Large ovarian dermoid in a girl seven years old (Dandois). Cysts of the oophoron occur at all periods of life, andeven in young girls sometimes reach a great size (Fig. 90). 268 DISEASES OF WOMEN. In some instances the tumor will weigh more than the bodyof the patient. In one case a girl weighed 27 kilos and hertumor 44 kilos (Keen). Ovarian dermoids have been seenas early as the first year of life and as late as is no authentic record of an ovarian dermoid in afcetus. Malignancy of Adenomata and Dermoids.—It has beensupposed, on inadequate evidence, that these tumors some-times exhibit malignant characters. It is a curious factthat when a loculus of a dermoid bursts into the ccelom theepithelium is liable to become engrafted on the peritoneumand give rise to secondary tumors. There is no evidencebased on post-mortem examination that after the removalof an ovarian dermoid recurrence has taken place in thestump. It is a fact that in women dermoids have n
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