Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . the hypertrophy is more gen-eral, involving the entire vulva more or less. A further grouping of these cases is also possible according to theprevailing type of pathologic lesion. We can have: (1) A hypertrophicform, in which large pendulous tumors are found, usually with butslight ulcerations. (2) An ulcerative form, in which the ulceratinggranuloma makes up the bulk of the enlargement. (3) A papillary HYPERTROPHIC-ULCERATIVE CHRONIC VULVITIS 171 form, in which the tumor surface
Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . the hypertrophy is more gen-eral, involving the entire vulva more or less. A further grouping of these cases is also possible according to theprevailing type of pathologic lesion. We can have: (1) A hypertrophicform, in which large pendulous tumors are found, usually with butslight ulcerations. (2) An ulcerative form, in which the ulceratinggranuloma makes up the bulk of the enlargement. (3) A papillary HYPERTROPHIC-ULCERATIVE CHRONIC VULVITIS 171 form, in which the tumor surface is covered with small nodular orpapillary excrescences. Often there is a combination of two or moreof these forms. Symptoms are usually insignificant in this disease. This may, inpart, be due to the low state of intelligence and lowered pain sensein these individuals. Some discomfort from the weight of the pendu-lous mass, interference with walking, and urinary and rectal irrita-bility may be noted. If the mass becomes more acutely inflamed, forsome cause or other, there may be pain. Dyspareunia is often the. Fig. 4.— (Case 6). Cross section of blood vessel formed in tumor mass showing obliterative endarteritis. main reason for their seeking medical advice. When we think of thesevere pain some women experience from small burns or chancroidalsores about the vestibulum, it is amazing that these extensive ulcera-tions produce so little discomfort. Very meagre, and often contra-dictory statements as to the duration and course of the disease, aregiven by these dull-witted individuals. From a diagnostic standpoint this condition is of interest becauseof its confusion with carcinoma. In the latter, hoAvever, we havea circumscribed lesion that is brittle, bleeds easily, and is practically 172 FRED J. TAUSSIG never found in the negress before the menopause. The differentiationfrom fibroid tumors of the vulva is usually easy, since fibroids are cir-cumscribed, have a smooth skin surfa
Size: 1474px × 1696px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubje, booksubjectobstetrics
