File:The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy (1868) (14785121655).jpg

Identifier: diagnosispatholo00hewi (find matches)
Title: The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy
Year: 1868 (1860s)
Authors: Hewitt, Graily, 1828-1893
Subjects: Gynecologic pathology Women Gynecology Pregnancy
Publisher: Philadelphia : Lindsay & Blakiston
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
designated by him and former pathologists colloid cancer, represents an ovarian tumor of this kind. Can-cer may be present together with cystic structures (cysto-carci-nomaj. One or more cysts containing hair, fat, &c. (dermoid). In ovarian dropsy we have one or more large cysts contain-ing fluid. The shape of ovarian cysts is ordinarily rounded where theyare single. Where also the tumor contains two or more large DISEASES OF THE OVARIES AND BROAD LIGAMENTS. 599 cysts, the outline of the whole tumor is rounded. When so largeas to occupy the greater part of the abdomen, the shape of thecyst or cjsts is determined necessarily by that of the abdominalwalls. The consistence and thickness of the tvalls of the cysts are vari-ous. The wall is sometimes very thin, especially in the case ofsingle cysts, or where the tumor is mainly made up of one largecyst: the free surface of most cysts is thin. But the cyst wallshave often very considerable thickness, and they are liable to be Fig. 104.*
Text Appearing After Image:
thickened by deposit from within, this deposit being the result ofinflammation or coagulation of eifused blood, or deposition of fattymatter in the shape of cholesterine, or from presence of growthsto be presently described. In the case of simple cysts, the wallsare generally divisible into three layers. The outer is the peri-toneal covering, which is thin and translucent. The middle coatis of varying thickness, according to the age of the cyst, and othercircumstances; it is generally a firm, fibrous layer, giving strengthand consistence to the cyst. The middle coat contains the blood-vessels of the cyst, which are often very numerous, and may beas large as a small quill. Fatal hemorrhage may occur in theoperation of paracentesis, fi-om wounding these vessels. The in-ternal coat is a layer of cells, generally spheroidal, sometimes * Pig 104, from Cruveilhier and Farre, is a good representation of the al-veolar or glandular tumor; formerly termed colloid cancer. 600 PATHOLOGY AND TREAT

Note About Images