Gynaecology for students and practitioners . Fig. 168. Showing the Association of Epithelioma, (Sqitamous-celled Carcinoma) of the Vulva and Leucoplakia ; the latter condition involves the labia and the perineum. 356 GYNECOLOGY invariably contain altered blood and swell up during menstruation,a fact which leads some authorities to regard these growths asMiillerian. In their histology they resemble adenomyomata whicharise in the uterus, for details of which the student is referred to thesection dealing with these growths (see p. 489). Myxomata have been described, they are probably degeneratedp


Gynaecology for students and practitioners . Fig. 168. Showing the Association of Epithelioma, (Sqitamous-celled Carcinoma) of the Vulva and Leucoplakia ; the latter condition involves the labia and the perineum. 356 GYNECOLOGY invariably contain altered blood and swell up during menstruation,a fact which leads some authorities to regard these growths asMiillerian. In their histology they resemble adenomyomata whicharise in the uterus, for details of which the student is referred to thesection dealing with these growths (see p. 489). Myxomata have been described, they are probably degeneratedpendulous fibromata. Sebaceous and mucous cysts occur on the labium minus. They are. Fig. 169. The same Case as m Fig. 168 with the Labia Retracted toSHOW THE Extent op the Malignant Process. It has spread across thevestibule as far down as the orifice of the uiethra. in no sense 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


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1