Treatise on gynaecology : medical and surgical . ch might better be termed the super-ficial variety, the tumor is generally verysmall, of the size of a nut, situated on the base of the labium minus,which it stretches out, making a lorojection in the vagina, and appar-ently placed directly under its mucous membrane, which glides freelyover it; sometimes the tumor is transparent. The ojoening of the ductin certain cases remains pervious and a small stylet may be intro-duced or pressure may force out a little viscous fluid; it seems thenthat the alteration in the consistency of the excretion plaj
Treatise on gynaecology : medical and surgical . ch might better be termed the super-ficial variety, the tumor is generally verysmall, of the size of a nut, situated on the base of the labium minus,which it stretches out, making a lorojection in the vagina, and appar-ently placed directly under its mucous membrane, which glides freelyover it; sometimes the tumor is transparent. The ojoening of the ductin certain cases remains pervious and a small stylet may be intro-duced or pressure may force out a little viscous fluid; it seems thenthat the alteration in the consistency of the excretion plaj^s here thedouble role of temporarily obstructing the duct, and also of contract-ing it and thus producing the cyst. In the case of cyst of the gland itself, which I prefer to call deepcyst, the tumor is large and is situated behind the labium majus, be-tween the entrance of the vagina and the ascending ramus of theischium, elevating both labia. The duct is not permeable, and thefluid contained is often discolored by old extravasation. The case. Fig. 134. -Cyst of Bartholins sound has been passed into the urethra. INFLAMMATION AND CYSTS OF BARTHOLINS GLANDS. 417 reported by Hoening, where the tumor reached into the pelvis, appearsto me to belong to cysts of the vagina rather than to those of thelabium majus; it was undoubtedly of Wolffian origin, and, being de-veloped at the entrance of the vulva, it projected into the greaterlabium. Diagnosis.—Reducible tumors should be first eliminated, and weshould determine whether we have a solid or a fluid swelling to dealwith. Fluctuation and transparence are not sufficient to indicate thenature of the affection certainly, as in case of similar collections inthe scrotum. Transparence is usually absent in deep cysts of thelabium majus, and fluctuation may also be lacking if the tumor isvery tense; or the partial softening of a solid tumor, as, for instance,a flbroma, may simulate it. In doubtful cases, i^uncture with theaspirati
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