. Tumours, innocent and malignant; their clinical characters and appropriate treatment. warts, tubal disease,and the like. Hydroperitoneum is a constant concomitant ofthe bursting of a papillomatous cyst. When the cyst is re-moved the exudation ceases. One of the most remarkable examples of hydroperito-neum associated with papillomatous cysts on record is thatdescribed by Dr. Pye-Smith. In this case a woman wastapped for hydroperitoneum, between August, 1884, and April,1894, 299 times. On readmission for the 300th tapping shedied. At the post-mortem examination a papillomatous cyst 512 TUMOURS
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. warts, tubal disease,and the like. Hydroperitoneum is a constant concomitant ofthe bursting of a papillomatous cyst. When the cyst is re-moved the exudation ceases. One of the most remarkable examples of hydroperito-neum associated with papillomatous cysts on record is thatdescribed by Dr. Pye-Smith. In this case a woman wastapped for hydroperitoneum, between August, 1884, and April,1894, 299 times. On readmission for the 300th tapping shedied. At the post-mortem examination a papillomatous cyst 512 TUMOURS OF THE OVARY was found in connexion with each ovary. These cysts couldhave been easily removed. The peritoneum was beset withwarts. It is important to draw a distinction between epithelialinfection, which is such a marked feature of papillomatouscysts of the ovary, and cancerous generalization due to depor-tation of malignant cells by the blood- and lymph-vessels. Itis necessary to state that some papillomatous cysts displaymalignancy by recurring locally. Pozzi has especially em-. Tube. Ovarian ligament. Fig. 270.—Euptured papillomatous cyst. phasized the fact that a great number of patients from whompapillomatous cysts are removed make complete and durablerecoveries, and I can affirm this from my own experience;but it is difficult to assert that the recovery is permanentin the face of the following record: Pozzi removed, in 1878, bilateral papillomatous cysts ofthe ovaries, attended with very abundant hydroperitoneum^from a woman 25 years of age; recovery was completefor twenty years. In 1898, hydroperitoneum reappeared,and a second operation was performed, but the recurrenttumour could not be removed ; the peritoneal cavity Avas PAPILLOMATOUS CYSTS 5l^ drained, and the patient made a temporary recovery. Shedied a year later. Pozzi also writes favourably of the ad-vantage of operating, whenever it is possible, on recurrentpapillomatous masses, even when they cannot be comp
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
