Gynaecology for students and practitioners . r of similar growth is seen upon the mesosalpinx andupon the abdominal ostium of the tube. to implantation of tumour-cells upon the surface of the ovary {seeFig. 378) and also upon the peritoneum. Papillge, which are structurally malignant, are much softer and morevascular than the benign ones, and on microscopic examination theyshow remarkably active growth, forming long compound processesbranching freely, and showing well-marked and irregular epithelialproliferation {see Figs. 379 and 380). Once the papillae escape from thecyst-wall there is no li
Gynaecology for students and practitioners . r of similar growth is seen upon the mesosalpinx andupon the abdominal ostium of the tube. to implantation of tumour-cells upon the surface of the ovary {seeFig. 378) and also upon the peritoneum. Papillge, which are structurally malignant, are much softer and morevascular than the benign ones, and on microscopic examination theyshow remarkably active growth, forming long compound processesbranching freely, and showing well-marked and irregular epithelialproliferation {see Figs. 379 and 380). Once the papillae escape from thecyst-wall there is no limit to their dissemination. Rapid ascites andinjury to health follow. Even metastases in lymph-glands and onthe pleural aspect of the diaphragm have been noted, in cases of dis-semination of microscopically innocent papilliferous serous secondary peritoneal growths tend to disappear after the removal MALIGNANT EPITHELIAL TUMOURS 673 of the principal tumour, but they may remain and subsequentlyassume a true carcinomatous ^^^t Fig. 379 Papilliferous Process, showing malignant proliferation of theepithelium. From the same specimen as Fig. 378. MALIGNANT EPITHELIAL TUMOURS Carcinoma of the Ovary. Cancer may occur in the ovary underconditions which may be stated as foUows :I. As a primary growth. 43 674 GYNAECOLOGY II. As a secondary growth arising either by direct extension, or more often by Primary Ovarian Cancer. This is a comparatively rare form oftumour ; it is generally agreed that among the organs liable to beattacked by primary cancer in women, the ovary stands low in order offrequency ; its occurrence is certainly very much less frequent than thatof uterine cancer. Its age incidence is wide ; about 68 per cent, ofcases occur in women between the ages of forty-five and fifty-five(Glendinning), in the climacteric decennium, but it may also occur inadolescents and in children. It is frequently bilateral, but a simultaneousonset of the d
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
