. Clinical gyncology, medical and surgical. Fibrocarcinoma of the ovary (primary). (Chambers.) Carcinoma.—In referring to primary and secondary cancer ofthe ovary we must bear in mind cancerous degeneration of a pre-exist-ing tumor, especially of a cystoma. The reader will readily understandthat a cysto-carcinoma may be a primary neoplasm, but a carcinomatouscyst never. Again, a distinction should be made between cancer of theovary secondary to disease in an adjacent organ, as the uterus, and the samedisease accompanying malignant growth in some distant locality, as thebreast. Primary cancer i


. Clinical gyncology, medical and surgical. Fibrocarcinoma of the ovary (primary). (Chambers.) Carcinoma.—In referring to primary and secondary cancer ofthe ovary we must bear in mind cancerous degeneration of a pre-exist-ing tumor, especially of a cystoma. The reader will readily understandthat a cysto-carcinoma may be a primary neoplasm, but a carcinomatouscyst never. Again, a distinction should be made between cancer of theovary secondary to disease in an adjacent organ, as the uterus, and the samedisease accompanying malignant growth in some distant locality, as thebreast. Primary cancer is now held to be much less frequent than medullary form is most often met with, and presents the ordinary his- NEOPLASMS OF THE OVARIES, TUBES, AND BROAD LIGAMENTS. 643 Fig. 25. tological peculiarities. The disease occurs quite frequently in women under thirty, like sarcoma, but, unlike the latter, affects both ovaries in only one-half of the cases. Tiny rarely attain a large size, and appear as whitish,lobulated masses, ha


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