File:Diseases of women. A clinical guide to their diagnosis and treatment (1899) (14768016352).jpg

Identifier: diseasesofwomenc00herm (find matches)
Title: Diseases of women. A clinical guide to their diagnosis and treatment
Year: 1899 (1890s)
Authors: Herman, G. Ernest (George Ernest), 1849-1914
Subjects: Women
Publisher: New York, W. Wood & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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Fig. 201.—Small multilocular ovarian cyst. (Froma specimen in the Museum of the Royal CoUeoe ofSurgeons, Pathological Series, No. 275. AfterDoran.) believed that the little cysts growing in the wall and into the cavity of the big cyst, are, so to speak, children and * See Pfannenstiel, op. cit 732 DISEASES OF WOMEN. grandchildren of the big cyst; one original cyst having thepower of producing an indefinite number of descendants.This mode of growth is called endogenous growth. Some-times other cysts are found outside the big cyst, and sodistinct in outline from it as to suggest that they have grown
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Fig. 202.—Portion of glandular, adenomatous, multilocular tumour of ovary,showing varieties of loculi. (After Bland Sutton, from nature.) c, primary, d, secondary, loculi. independently from the ovary: this is called exogenous growth.These latter tumours form the transition between theordinary multilocular cysts and Rokitanskys tumour. The little cysts have thin and translucent walls. Thewall of the big cyst is generally tough and opaque fromfibrous tissue; and on the outside white, glistening, pearly.Sometimes it is composed of different layers, in which case OVARIAN TUMOURS. 733 it is supposed that one cyst inside another has grown untilthe wall of the inner cyst has come into contact with thatof the outer. Often it contains thin places where there was adaughter cyst which has burst into the main cavity. Thesmall cysts are lined inside with columnar epithelium ; in thebigger ones this is flattened out by pressure into pavementepithelium; and in the largest the lining epithelium ma

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