Gynaecology for students and practitioners . which is healthy. A small pedunculated cystbelow the tube near the ovary. (4) Wall of tube, turned down to show growthis seen inside. (5, 5) Masses of papillomatous growth filling the tube. tends the tube without invading its walls. As a result of distensionby the growth the tube-walh are ultimately thinned {see Fig. 345).The tube may attain a large size without closure of the abdominalostium taking place. The branching processes are invested bycolumnar ciliated epithelium and by columnar cells devoid of cilia ; 636 GYNECOLOGY the latter secrete a t
Gynaecology for students and practitioners . which is healthy. A small pedunculated cystbelow the tube near the ovary. (4) Wall of tube, turned down to show growthis seen inside. (5, 5) Masses of papillomatous growth filling the tube. tends the tube without invading its walls. As a result of distensionby the growth the tube-walh are ultimately thinned {see Fig. 345).The tube may attain a large size without closure of the abdominalostium taking place. The branching processes are invested bycolumnar ciliated epithelium and by columnar cells devoid of cilia ; 636 GYNECOLOGY the latter secrete a thin watery mucoid fluid. In the case shown inFig. 345 the fluid escaped from the patent abdominal ostium andgave rise to ascitic effusion, but the innocence of the case was provedby the absence of secondary deposits, and by the fact that the patientwas known to remain well for twenty-three years after the removalof the growth. On the other hand cases are recorded in which theabdominal ostium was sealed by inflammation whilst the uterine end. Fig. 346. Malignant Papilloma of Fallopian Tube. Inset, natural part of the tube shows no invasion of its walls by the new growths, butsections proved that this had occurred. remained patent, allowing of the escape of great quantities of sero-sangaineous fluid per vaginam. Etiology. In many cases the history of previous inflammation isquite clear ; on the other hand it is not always evident that a pre-existing salpingitis was present. Signs and Symptoms. Papilloma of the tube gives rise to a tumourwhich can be felt on bimanual examination. From the presence offluid in the tube the swelling may have the consistence of a tensecyst upon one or other side of the uterus. It may be accompaniedby free fluid in the peritoneal cavity even in the absence of malignancy. NEW GROWTHS OF THE TUBES 637 There may be a history of sudden escape of pink watery dischargewhich comes away in gushes drenching the patients clothes {hydropstubal profliien
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
