Pathology and treatment of diseases of women . s found after a long search as the origin of the disease. Thisfact of the frequency of secondary ovarian cancers has in the main aclinical interest, particularly in reference to rendering a diagnosis andto the remaining course of the disease (vide infra). The ovarian metas-tases form naturally the same anatomic picture as the primary occur mostly bilaterally. 392 DISEASES OF WOMEN II. Desmoid or Connective Tissue Ovarian Tumors As the ovary consists of connective tissue and contains also not incon-siderable amounts of smooth musculatur
Pathology and treatment of diseases of women . s found after a long search as the origin of the disease. Thisfact of the frequency of secondary ovarian cancers has in the main aclinical interest, particularly in reference to rendering a diagnosis andto the remaining course of the disease (vide infra). The ovarian metas-tases form naturally the same anatomic picture as the primary occur mostly bilaterally. 392 DISEASES OF WOMEN II. Desmoid or Connective Tissue Ovarian Tumors As the ovary consists of connective tissue and contains also not incon-siderable amounts of smooth musculature in the walls of the numerousvessels, various forms of connective tissue tumors may originate , they are in toto much less frequent than the epithelial ovariantumors. The Different Forms of Connective Tissue Ovarian Tumors Fibromata of the ovary are relatively frequent. On the surface ofthe organ small fibrous knots, up to the size of a cherry or hazel nut, andattached to the surface with a narrow base, are not rarely found as an. Fig. 176.—Fibrosarcoma Ovarii. (Authors , Obj. A A, Oc. 4.) accidental finding, fibroma papillare (see Fig. 175). Hardly any impor-tance can be attributed to them. They originate mostly from a cicatricialcontraction of the surrounding ovarian stroma as a result of contractionof the corpora lutea (see above, p. 371), have almost no tendency togrow, and often never occasion any clinical symptoms. When from any cause the connective tissue of the ovary undergoesactual proliferation, ovarian fibromata proper originate. These maygrow to a considerable size, twice or thrice the size of the human head,of solid, either harder or softer consistency, according to the degree oftenseness of the connective tissue and have a smooth surface. Micro-scopically they consist of tangled bundles of spindle-shaped ele-ments and more or less abundant, imbedded, fibrillary tissue (seeFig. 176). THE DISEASES OF THE OVARIES 393 If the tumors are
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Keywords: ., bookcentury1900, bookdecade1, booksubjectgynecology, bookyear1912
