Gynaecology for students and practitioners . neoplastic, but are due to retention in the blocked ductsof»these glands of sebum and mucus respectively. Malignant Growths. The following malignant growths may ariseprimarily in the vulva, their relative frequency being in the orderstated : squamous-celled cancer, melanoma, sarcoma, adeno-carcinoma,and rodent ulcer. Secondary growths are very rarely found in thevulva, with the single exception of cases of chorion epithelioma, whichin this location has been observed with comparative frequency. NEW GROWTHS OF THE VULVA 357 Epithelioma (Sauamous-celle
Gynaecology for students and practitioners . neoplastic, but are due to retention in the blocked ductsof»these glands of sebum and mucus respectively. Malignant Growths. The following malignant growths may ariseprimarily in the vulva, their relative frequency being in the orderstated : squamous-celled cancer, melanoma, sarcoma, adeno-carcinoma,and rodent ulcer. Secondary growths are very rarely found in thevulva, with the single exception of cases of chorion epithelioma, whichin this location has been observed with comparative frequency. NEW GROWTHS OF THE VULVA 357 Epithelioma (Sauamous-celled Carcinoma). The vulva is therarest site in the female genitalia for cancer to develop. Vulvalcancer is a disease of advanced age ; its starting-points are the clitoris,labia majora, labia minora, and the perineum. The growth is char-acterized by extensive new formation of tissue and by a tendencyto early superficial ulceration ; there is a diffuse infiltration of thesurrounding tissues, with involvement of the inguinal lymphatic EiG. 170. Squamous-celled caeces^oma of the Vulva. The section isthrough the base of the labium minus. The subepitheHal tissues are seen tobe permeated by cancer-processes arising from the deep epitheUum. Epithelioma of the Clitoris. There is no uniformity of opinion asto which site, the clitoris or the labia, is the commoner as the starting-point of cancer. Individual experience differs on this point. In ourown case we have seen more examples of cancer of the labia thanof the clitoris. When the clitoris is primarily affected, the disease isseen to start on the prepuce as a hard nodule which quicklj^ ulcerates ;there is diffuse infiltration of the smrounding tissues and the inguinalglands are early involved, but not in all cases. The course of thedisease may be rapid or chronic, but as the clitoris is very sensitivethere is a better chance of early detection than when cancer starts in thelabia. Fritsch has called attention to the frequency o
Size: 1580px × 1582px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
