. Operative gynecology. ewas a pink cauliflower-like excrescence, as seen in the flgure, and on the insidethe smooth-walled cysts were dotted everywhere with outgrowths of varyingsizes. The fluid was thick and tenacious. I found ascites in eleven of my cases. The fluid is watery, thick, syrupy,glutinous or pseudomucinous ; it is often glairy, straw-colored, or red or chocolate-colored, due to the admixture of blood. A patient seen by Dr. M. Sherwood, in Oct., 1896, complained of generalweakness without any local symptoms at all; she returned within four months 270 OVARIOTOMY. with the abdomen
. Operative gynecology. ewas a pink cauliflower-like excrescence, as seen in the flgure, and on the insidethe smooth-walled cysts were dotted everywhere with outgrowths of varyingsizes. The fluid was thick and tenacious. I found ascites in eleven of my cases. The fluid is watery, thick, syrupy,glutinous or pseudomucinous ; it is often glairy, straw-colored, or red or chocolate-colored, due to the admixture of blood. A patient seen by Dr. M. Sherwood, in Oct., 1896, complained of generalweakness without any local symptoms at all; she returned within four months 270 OVARIOTOMY. with the abdomen generally distended, and on making an exploratory incision 1found the entire pelvis, both true and false, choked by papillomatous masses,which were beginning to break down extensively in the center. Enucleation wasimpossible, and she died about a week later of an intense septic peritonitis, pro-duced by rupture of an abscess into the abdominal cavity. Her sister had pi-e-viously died under my care with the same Fig. 413.—Cysto-papilloma of the Ovary, with Papillomatous Masses within the Cysts as well as ON THE Surface. Both ovaries were involved. Mo. 174. Natural size. Histology.—Histologically the papillary excrescences consist of connec-tive tissue covered by epithelium; the connective tissue, however, is but theframework which supports the epithelial growth. An examination of the pa-pilla in its earliest stages shows that it begins by a proliferation of the epithe-lium, and as this pushes out from the surface and then branches, and branchesagain, the connective tissue follows it, lying beneath the surface and carrying theblood and lymph vessels. Because of this fact, that the tumor is primarily epi-thelial in its histogenesis, it might be suitably named a papillary epithelioma, but,as Pfannenstiel suggests, the name epithelioma is so indelibly associated with car-cinoma that it is better to call the growth an adenoma. The appearance ofpapilloma is in fact, in c
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
