. Operative gynecology. PLATE XV. A section of a small nodule taken from the inner surface of the tumor (Fig. 413).The cyst wall (d) is made up of wavy fibrous tissue poor in blood vessels, and is linedon its inner surface by a single layer of cylindrical epithelium. The papillary treeshown springing from the cyst wall likewise has a connective tissue framework cov-ered by a single layer of cylindrical epithelium, in places cut slantingly. Blood ves-sels are few. The drawing is an exact reproduction of the specimen cell for cell. 11 i ti 10 1 ?tivpi tissTie (. wljicii suppurts tl ?its
. Operative gynecology. PLATE XV. A section of a small nodule taken from the inner surface of the tumor (Fig. 413).The cyst wall (d) is made up of wavy fibrous tissue poor in blood vessels, and is linedon its inner surface by a single layer of cylindrical epithelium. The papillary treeshown springing from the cyst wall likewise has a connective tissue framework cov-ered by a single layer of cylindrical epithelium, in places cut slantingly. Blood ves-sels are few. The drawing is an exact reproduction of the specimen cell for cell. 11 i ti 10 1 ?tivpi tissTie (. wljicii suppurts tl ?its earliest stages sliuv!id as this pii-shes out fiui!.lie eoniieptive tissue follow:,i.„,i .iiiil lv!i>iii ????•>1r. Becauhi tlr i!;ll ill if- L(-:u;m-,i sis, it TUlght . M, I r;innii!„tiel su^-gests, the nam< (?ill i ,. t;st it i---^ brtter to call ti •ross-sectii _\ however, is hut the S, ;iJHi 111 ilniui- ind carrying theis prinmrily epi-epitheUoraa, Ini, lolial luulLiplicui PLATE XV m m. X 70 PAPILLARY PAKOYAEIAN CYST. 271 these two forms may be distinguished by the suitable names adenoma p a -pillare superficiale and cyst-adenoma papillare. In sharp and interesting contrast to these glandular epithelial tumoxs standa group of little tumors of the ovary in which the connective-tissue elements aregreatly in excess of the epithelial; these appear sometimes in the form of a mush-room-like reddish excrescence on the surface of the ovary, apparently sproutingout from a ruptured Graafian follicle. These growths are fully supplied ^Yithblood vessels and made up of a mass of connective tissue -with just enough epi-thelium to cover them, and may be suitably termed papillary fibromata. Diagnosis.—The diagnosis of a papillary tumor can not be made whenthe papillomata are confined to the interior of an ovariau cyst. The only prac-tical conclusion which can be dra\Yn in refeience to such cases is that any ova-rian cyst is liable to be papillomatous and therefore maligua
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
