. Operative gynecology. gJBoifeb ,iaiaa3 axii to idgjn &rifdi bm: i-t( dn fiur r.,--?. ?.i IIsti pntilrila A .aizadio^-XBiT ^jiiv/oflaaa-xBoo i^nBcn ^ttini . .0 ni ifilu-yaiii \lba-A-iniLi .xiiiBxnoixIo to aelxjriiJig-liqBq 9x[i dJiw ,a9inij •{iio ;i_uiiu;.,in .iKpij-jo^ ho iinboa t?uojBaioox>ea Bawoxfa t .^ilbxiB aJiiamata llaa ni iooq ai auaaij 9vrJa9xiflo» gni-iliabiur adT .abia i9dJi9 no cJemol iaiojxn 9x(T .Utahassdi> o-ib alloo aaoxlw ^ijioaiB?. .r-! Kf ? ii r,tr-. ??i,i--rr .9§ibI Ba-xfi ?gniniBlB ?;. i ju. CARCINOMA OF THE OVARY. 275 The patient (M. G., 3100, Oct. 13, 189


. Operative gynecology. gJBoifeb ,iaiaa3 axii to idgjn &rifdi bm: i-t( dn fiur r.,--?. ?.i IIsti pntilrila A .aizadio^-XBiT ^jiiv/oflaaa-xBoo i^nBcn ^ttini . .0 ni ifilu-yaiii \lba-A-iniLi .xiiiBxnoixIo to aelxjriiJig-liqBq 9x[i dJiw ,a9inij •{iio ;i_uiiu;.,in .iKpij-jo^ ho iinboa t?uojBaioox>ea Bawoxfa t .^ilbxiB aJiiamata llaa ni iooq ai auaaij 9vrJa9xiflo» gni-iliabiur adT .abia i9dJi9 no cJemol iaiojxn 9x(T .Utahassdi> o-ib alloo aaoxlw ^ijioaiB?. .r-! Kf ? ii r,tr-. ??i,i--rr .9§ibI Ba-xfi ?gniniBlB ?;. i ju. CARCINOMA OF THE OVARY. 275 The patient (M. G., 3100, Oct. 13, 189i) was sixty-three years old, and wasoperated upon Oct. 13, ISOi, for a tumor which she had noticed for the firsttime six months before. A cyst about the size of a mans head was removedfrom the right side close to the uterine cornu, and an uninterrupted recoveryfollowed. (See Plate XVI.) Carcinoma of the Ovary.—Adeno-carcinoma is the most malignant of all theovarian The walls aiepithelial liniug CAKCINOMA OF Tilli (.)VAi:V OF UnUSI:AL FoRM. thicli, and the inner surface of the large cyst is sniootli, irregiihir, nodular, and has noThe uterine tube lies above. No. 344. % natural size. It is an epithelial growth appearing under several forms, either priniary—that is, originating in the ovary and constituting the original ovarian tumor—orsecondary, in two ways: first, as a degeneration of a glandular ovarian cyst, adermoid, or a papillary cyst, or second, metastatic from some other organ, suchas the body of the uterus or the cervix. The association of carcinoma with the glandular and the papillary cystoma,althougli unexplained in its etiology, seems but a natural evolution of thesehistologically remarkaVtle growths, characterized as they are by an enormousproliferation of atypical glandular tissue. 276 OVARIOTOMY.


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal