. The diagnosis of diseases of women . ceis smooth it is known as elephan-tiasis glabra; when nodular, ele-phantiasis tuberculosa, and whencovered with warty excrescences,elephantiasis condylomata. The sur-face may be more or less ulcerated(Fig. 93). ^ The point of origin may be thelabia majora, labia minora, monsveneris, or clitoris. It is unusualfor the growth to arise simultane-ously from two or more of thesesurfaces. The greater portion of the growthis of connective tissue, with oede-matous infiltration of the connective-tissue spaces. There is a scant bloodsupply to these growths. The ess
. The diagnosis of diseases of women . ceis smooth it is known as elephan-tiasis glabra; when nodular, ele-phantiasis tuberculosa, and whencovered with warty excrescences,elephantiasis condylomata. The sur-face may be more or less ulcerated(Fig. 93). ^ The point of origin may be thelabia majora, labia minora, monsveneris, or clitoris. It is unusualfor the growth to arise simultane-ously from two or more of thesesurfaces. The greater portion of the growthis of connective tissue, with oede-matous infiltration of the connective-tissue spaces. There is a scant bloodsupply to these growths. The essential cause is as yet un-known. Elephantiasis sometimesarises from the base of old ulcers andsuppurating buboes. Stenosis or occlusion of the lymph channels is undoubtedly an underlying factor,but the cause of obstruction to the lymph channel is unknown. The patient consults the physician because of the weight of thegrowth and its interference with walking and coition. The diagnosis will involve little difficulty. It is distinguished. Elephantiasis of the vulva,and Pettit.) (Bonnet 256 SPECIAL DIAGNOSIS from carcinoma by the absence of friability, the slow growth, and,finally, by a microscopic section showing an absence of epithelialinvasion of the connective tissue and the presence of connective-tissue hyperplasia. There are no constitutional effects. Urethral Caruncle is a localized inflammatory hypertrophy of theurethral mucosa located near the external meatus. These elevationsare usually single, rarely multiple. They attain the size of a hazel-nut, are red or bluish-red in color, sensitive to pressure, soft, andattached by a broad base or pedicle. The surface is smooth orfolded, and bleeds but slightly on handling. The growth consists in large part of connective tissue infiltratedwith small round cells, with here and there blood surface is commonly covered with several layers of the flatepithelium of the vestibule. Tubular glands invade the structure,and
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