Treatise on gynaecology - medical and surgical (1894) (14593921209)

Identifier: treatiseongynaec02pozz (find matches)

Title: Treatise on gynaecology : medical and surgical

Year: 1894 (1890s)

Authors: Pozzi, Samuel, 1846-1918 Wells, B. H., tr

Subjects: Gynecology Generative organs, Female Women Gynecology Genital Diseases, Female Gynecologic Surgical Procedures

Publisher: New York : William Wood & Co.

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

Text Appearing Before Image:

as uterine fibroma orinflammation of the tube. The sclerous degeneration of the ovary isonly secondary, but it is a constant result of follicular degeneration.It is very marked from the standpoint of macroscopic pathologicalanatomy, and from the clinical standjDoint of cystic disease caused bylarge multiple follicular cysts. The contents of the cavities, in cystic disease of the ovaries, isserous or bloody. Yet I once removed a polycystic ovarian tumor inwhich a certain number of cavities, varying in size from that of the PATHOLOGICAL A)SATOMY OF OVAEIAN CYSTS. 109 head of a pin to a walnut, were tilled with a serous liuid, while otherscontained cheesy or lardaceous matter, in which a microscopic exam-ination (made by Toupet in Professor Cornils laboratory) showed thepresence of myxomatous tissue. The lesion was unilateral; the otherovary w^^s sclero-cystic. I think this was a form of secondary degen-eration of follicular cysts which has never before been described (Figs.33, 34, 35).

Text Appearing After Image:

^ MUMANSKI Fig. 35.—Follicular Cyst op the Ovary, with Myxomatous Degeneration. (Magnified 50 diame-ters.) A, A, Loose myxomatous tissue toward the interior of the cyst; B, B, dense myxomatous tissuetoward the external surface. III. Cysts of the Corpus Luteum.—It is to Rokitansky ^^ againthat we owe the first description of this cyst. He believed that thecorpus luteum of pregnancy alone could be transformed into a cyst;this opinion was too positive: Gottschalk ^^ found them in a nulli-para. As a usual thing, they are no larger than a walnut, but somecases have been reported where their size was much greater. Of thetwo described by Gottschalk, one was as large as an orange and theother as a small apple. Schroder ^^ has seen them the size of a pig-eons Qgg. Nagel has seen them as large as an apple, and even as anadults head. 110 CLIlSriCAL AND OPERATIVE GYlST^ECOLOdY. A microscopic examination of the walls will show the bnd-likepapillae characteristic of the corpus luteum. This will

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1894

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