Gynecology (1916) (14778639482)

Identifier: gynecologygrav2 (find matches)

Title: Gynecology

Year: 1916 (1910s)

Authors: Graves, William Phillips, 1870-1933

Subjects: Gynecology Genital Diseases, Female Women Gynecology

Publisher: Philadelphia and London : Saunders

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

Text Appearing Before Image:

cences thatappear on the labia and surrounding parts of the external genitals. Their originis usually venereal and nearly always the result of gonorrhea. They have theform of pointed papillae, and are termed acuminata to distinguish them fromthe broad condylomata that result from syphilis. These warty growths appearin clusters mostly on the major and minor lips of the vulva. Other warts, eithersingly or in clusters, are sown about over the neighboring parts of the buttocksand thighs. They may even invade the vagina for a short distance. Sometimesthe clusters become very large. The condition is frequently mistaken for cancer, 186 GYNECOLOGY though to the experienced there is no difficulty in making a diagnosis. Thecondylomata of themselves do not give much trouble to the patient, but thereis usually an associated leukorrheal discharge with consequent maceration andsoreness of the parts. The appearance of the excrescences may cause greatapprehension on the part of the patient. - ■ ■

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Fig. 46.—Condylomata Acuminata Vulv^.Higher power drawing of a papilla from the previous section. The epithelium is thickened, butthe cells show no atypical growth and no signs of invading the stroma, as they do in carcinoma of thevulva. The stroma of the papilla contains several dilated blood-vessels and is infiltrated with leuko-cytes. The growth of the papillae is entirely superficial, there being no tendency togrow down into the subcutaneous tissue. For this reason the treatment isvery simple. It consists merely in scraping off the papillary growths with asharp curet. The superficial excoriation of the skin may be painted withiodin and the healing process is very rapid. If the condylomata extend to thesofter parts of the vestibule and vaginal orifice their removal may be attended by GENERAL INFLAMMATORY PROCESSES 187 troublesome bleeding, especially if the patient happens to be pregnant. If thecondylomata are at all extensive it is best to remove them under general anes-thesia.

Gynäkologie von William Phillips Graves 1916 Histopathologie von Genitalwarzen Buchillustrationen Medizin medizinische Illustrationen Krankengeschichte Gynäkologie Krankheiten Bilder aus dem Internetarchiv

1916

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