Gynecological diagnosis and pathology . Fig. 19S.—Venereal the nature of a simple Fig. 199.—Ulcus Serpiginosum of Vulva. Other cases are associated with tuberculosis. Besides the syphiliticand tuberculous, there has been described recently by Dupuy and Rulliera rare form for which the term esthiomene, introduced by Huguier,should be retained. It consists of induration, associated with ulceration,extending gradually and sometimes healing, causing destruction of thevulva and anterior and posterior vaginal walls. AFFECTIONS OF THE VULVA 21 I K/r/i/taii/iasis need only be menti


Gynecological diagnosis and pathology . Fig. 19S.—Venereal the nature of a simple Fig. 199.—Ulcus Serpiginosum of Vulva. Other cases are associated with tuberculosis. Besides the syphiliticand tuberculous, there has been described recently by Dupuy and Rulliera rare form for which the term esthiomene, introduced by Huguier,should be retained. It consists of induration, associated with ulceration,extending gradually and sometimes healing, causing destruction of thevulva and anterior and posterior vaginal walls. AFFECTIONS OF THE VULVA 21 I K/r/i/taii/iasis need only be mentioned, aa it is an extremely rare-condition except among the coloured races, [t may affect the clitoris,the labia minora, or the labia majora, and extend to the perineum. It isapparently due to a chronic inflammation leading to obstruction of thelymphatics, and syphilis is said to be a common exciting cause. Of these the most frequent is the Bartholiniam Cyst. When the duet of the liartholinian gland becomes obstructed, a retention cyst forms. The tumour is similar to what has been des


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1