File:Gynecology - (1918) (14770280191).jpg

Identifier: gynecologygrav (find matches)
Title: Gynecology :
Year: 1918 (1910s)
Authors: Graves, William Phillips, 1870-1933
Subjects: Gynecology Genital Diseases, Female Women Gynecology
Publisher: Philadelphia : Saunders
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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Often a characteristic greenish, shimmering hue is seen, due tothe presence of cholesterin plates, which represent a product of regressivechanges in the cellular elements (von Franque). The reaction is alkaline. NEW GROWTHS 391 The cysts are lined with.a high, non-ciliated, cylindric epithelium with abasal nucleus. During activity these epithelial cells assume the characteristicappearance of beaker cells, and secrete pseudomucin in the same way as thelining cells of the stomach or gall-bladder secrete true mucus. The cells arebeautifully arranged in regular order in a single layer. As distinguished fromthe serous cystadenomata, papillary outgrowth of the lining epithelium iscomparatively rare. From a clinical standpoint, the pseudomucinous cysts belong to the classof benign neoplasms. They grow very slowly and may reach enormous dimen-sions. The famous classical ovarian tumors of great size that were frequentlydescribed before the days of modern surgery were of this type. They rarely
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Fig. 141.—Contour of Abdomen Containing a Large Ovarian Cyst.(Reproduced from a photograph.) develop carcinomatous degeneration, in which they are again distinguished fromthe serous variety, which has an especial tendency to malignancy. From an operative standpoint, the pseudomucinous cysts are particularlyfavorable. The operation itself is usually attended with little difficulty, be-cause, having no inclination to grow between the leaves of the broad ligament,they usually lie free in the abdomen, with an easily accessible pedicle. Adhe-sions to the intestines are not present unless the tumor is complicated by someinflammatory process, such as might ensue from salpingitis or from torsion ofthe pedicle. Inasmuch as the disease is usually confined to one side, and asthere is little tendency to later recurrence in the unaffected ovary, a simpleextirpation of the tumor, without removal of the other organs of the pelvis, isall that is necessary. It should be remembered, however, that car

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