. Diseases of women. A clinical guide to their diagnosis and treatment. ter, is a tubo-ovarian cyst, or a hydrosalpinx to the wall of which the ovaryis adherent. Doranf thinks the dilated part of the tubeis often mistaken for a cystic ovary. I find it difficult tounderstand why the cysts that become fused with Fallopiantubes should be so often unilocular, seeing that uniloculartumours form only a small minority of ovarian tumoursgenerally. It is remarkable also that signs of recent per-foration of the ovarian cyst are so rarely seen, although * Barnes, Diseases of Women, 1st edition, p. 324 ;
. Diseases of women. A clinical guide to their diagnosis and treatment. ter, is a tubo-ovarian cyst, or a hydrosalpinx to the wall of which the ovaryis adherent. Doranf thinks the dilated part of the tubeis often mistaken for a cystic ovary. I find it difficult tounderstand why the cysts that become fused with Fallopiantubes should be so often unilocular, seeing that uniloculartumours form only a small minority of ovarian tumoursgenerally. It is remarkable also that signs of recent per-foration of the ovarian cyst are so rarely seen, although * Barnes, Diseases of Women, 1st edition, p. 324 ; also Wells, Ovarianand Uterine Tumours, p. 18. f Obst. Trans., vol. xxxviii. p. 3. 726 DISEASES OF WOMEN. tubo-ovarian cysts are generally small. I therefore am dis-posed to agree with Doran. On the other hand, Pozzi *thinks that most cases described as hydrosalpinx whichexceeded a foetal head in size were probably tubo-ovariancysts. This also may be correct. Multiple dropsical follicles: Rokitanskys tumour.—Inmost small ovarian tumours, either only one follicle is. Fig. 196.—Multiple enlargement of Graafian follicles in both ovaries : Rokitanskystumour. {After R. Barnes, from a specimen in the Museum of the MiddlesexHospital.) dropsical or there is one big cyst and many little is a rare kind of tumour, in which the ovary may getas big as a childs head, but is enlarged not by the sizeof the cysts but by their number. The tumour is made upof little cysts, most of them about the size of a cherry, orsmaller; a few perhaps a little larger, up to the size of a smallorange. These are all closely packed together, and flattenedby mutual compression. In these little cysts, little or nodegeneration of their contents has taken place, and thereforeova can be found in them. The name of Rokitanskys tumour * Gynaecology, Translation, vol. ii. p. 343. OVARIAN TUMOURS. 727 has been given to this form of ovarian new growth, becausethe first recorded specimen of it was descr
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