. Operative gynecology. omata belong to the carcinomata, and sometimes even to the sarcomata. From a practical stand-point all ovarian tumorsmust be considered as ma-lignant until removed andproved otherwise. Pedicle.—Ovarian tumors are at-tached to the broad ligament by thesame anatomical structures by whichthe normal ovary is found attached toit. The base of attachment of the tu-mor is called its pedicle, and in thispedicle the various anatomical ele-ments differ greatly in their mutualrelations, according to the mode ofgrowth of the tumor, whether up intothe abdomen or down toward the pel-v
. Operative gynecology. omata belong to the carcinomata, and sometimes even to the sarcomata. From a practical stand-point all ovarian tumorsmust be considered as ma-lignant until removed andproved otherwise. Pedicle.—Ovarian tumors are at-tached to the broad ligament by thesame anatomical structures by whichthe normal ovary is found attached toit. The base of attachment of the tu-mor is called its pedicle, and in thispedicle the various anatomical ele-ments differ greatly in their mutualrelations, according to the mode ofgrowth of the tumor, whether up intothe abdomen or down toward the pel-vic fioor, according to its length, andaccording as it has a broad or a nar-row insertion. The anatomical structures con-cerned are the mesovarium, the utero-ovarian ligament, the mesosalpinx, theuterine tube, and the broad ligament; they deserve careful consideration ineach case, because the correct diagnosis in any given case depends upon therecognition of the relationship between the tumor and the broad ligament and. feUI Fig. 396.—Diagkam showing the Kelations ofAN Ovarian Cyst to the Peritoneum of thePelvic Floor and Beoad Li FT, the uterine tube, with its intact mesosalpinx(Ms). The red line (P, P) is the peritoneum, whichextends to the hilum of the ovary, but does not PEDICLE. 249 the uterus as established by means of the pedicle; the treatment, also, is sim-plified or rendered difficult according to the character of the pedicle and therelations of its component structures. In some instances the mesovarium is pulled out with the utero-ovarian liga-ment in the form of a long band to form a pedicle 6 or 8 or more centimeters
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
