Treatise on gynaecology : medical and surgical . Fig. 33.—Cystic Disease of the Ovaries. (Serous and Myxomatous Multiple Follicular Cysts.)t. Tube; o, ovary; a, b, follicular myxomatous cysts. of growth of a large tumor, as used to be believed; they always re-main medium sized, which fact separates them surgically from prolig-erous glandular cysts, which are also dilferent histologically. 108 CLIjSriCAL AND OPERATIVE GYNAECOLOGY. The micro-cystic degeneration wMcli is accompanied by ovariansclerosis, althougli possessing a common histogenetic origin in the fol-licle, forms a type which is anat
Treatise on gynaecology : medical and surgical . Fig. 33.—Cystic Disease of the Ovaries. (Serous and Myxomatous Multiple Follicular Cysts.)t. Tube; o, ovary; a, b, follicular myxomatous cysts. of growth of a large tumor, as used to be believed; they always re-main medium sized, which fact separates them surgically from prolig-erous glandular cysts, which are also dilferent histologically. 108 CLIjSriCAL AND OPERATIVE GYNAECOLOGY. The micro-cystic degeneration wMcli is accompanied by ovariansclerosis, althougli possessing a common histogenetic origin in the fol-licle, forms a type which is anatomically and clinically perfectly dis-tinct from the preceding. Tiie cavities are so small that they do notalter the shape of the ovary nor form any tumor. In this affection,which really belongs under the head of ovaritis, in connection withwhich I have already described it, we see the whole ovary clothedwith cysts about the size of hemjpseed. Some w^riters have errone-ously considered it to be a phenomenon of physiological Fig. 34.—Cystic Disease op the Ovaries. (Serous and myxomatous multiple follicular cysts.)(Section of tumor shown in preceding cutnatural size.) a, a, Small myxomatous cysts; 6, 6, large myxom-atous cysts; c, e, follicular cysts with fluid contents; c, g, g, folhcular cysts with caseous contents; o,f,f,ovarian tissue containing small follicular cysts. In reality, it is a pathological process which is met with only whenthere is some neighboring source of irritation, as uterine fibroma orinflammation of the tube. The sclerous degeneration of the ovary isonly secondary, but it is a constant result of follicular is very marked from the standpoint of macroscopic pathologicalanatomy, and from the clinical standjDoint of cystic disease caused bylarge multiple follicular cysts. The contents of the cavities, in cystic disease of the ovaries, isserous or bloody. Yet I once removed a polycystic ovarian tumor inwhich a certain number of
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