. The diagnosis of diseases of women . apart from the perityphlitic exudate. New-growths of the ovary, including ovarian cysts, are less tenderto pressure, the pain is rarely so fixed, and the outline of the tumoris often quite irregular. Finally, their tendency to grow to a largesize will serve as points of distinction. SIMPLE CYSTS OF THE OVARY. Among simple cysts of the ovary will be included those cysticformations occupying an intermediate position between the cysticinflammatory lesions and the cystic new-formations. 1. Follicular Cysts. See page 420. 2. Corpus luteum cysts, as the name im
. The diagnosis of diseases of women . apart from the perityphlitic exudate. New-growths of the ovary, including ovarian cysts, are less tenderto pressure, the pain is rarely so fixed, and the outline of the tumoris often quite irregular. Finally, their tendency to grow to a largesize will serve as points of distinction. SIMPLE CYSTS OF THE OVARY. Among simple cysts of the ovary will be included those cysticformations occupying an intermediate position between the cysticinflammatory lesions and the cystic new-formations. 1. Follicular Cysts. See page 420. 2. Corpus luteum cysts, as the name implies, arise from the corpusluteum, and hence are single and are located on the periphery of the 430 SPECIAL DIAGNOSIS ovary. As compared with follicular cysts, they are size they vary from a bean to a mans head. The wall of the cyst presents the characteristic yellow corrugatedappearance of the luteum cell layer, and external to this is the pale,fibrous envelope. The contents of the cyst is commonly a clear, Fig. 175. Corpus luteum cyst. Numerous small follicular cysts are seen in the substance of theovary. At the periphery of the ovary is a thin-walled cyst double the size of the ovary,and originating in a corpus luteum. (Specimen removed by Dr. J. Clarence Webster.) serous fluid; this is occasionally mixed with blood and degeneratedcells. 3. Tubo-ovarian Cysts. These have been previously referred to. Rathorn gives the following groups in explanation of the originof tubo-ovarian cysts; DIAGNOSIS OF DISEASES OF THE OVARY 431 Group I. 1. Cases in which a pyosalpinx becomes adherent to the wallof an ovarian abscess, with subsequent communication establishedbetween them. Later the formed elements of the pus are absorbed,leaving a serous fluid. 2. Adhesions of the pavilion of the tube to the wall of the sup-purating ovarian cyst, with subsequent development of hydrosalpinxand perforation of the cyst into the tube. 3. x^dhesions of a hydrosalpinx to a papillomatous
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