On the origin, structure, and mode of development of the cystic tumours of the ovary / by Wilson Fox, M.D.

  • Fox, Wilson, 1831-1887.
Date:
[1864]
Catalogue details

Licence: Public Domain Mark

Credit: On the origin, structure, and mode of development of the cystic tumours of the ovary / by Wilson Fox, M.D. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    in which they were found was subjected to no pressure whatever. In one of these cases, although I could discover no glandular structures forming in the inner Avail, there were found, in a few isolated cysts apparently of older growth, scattered villi, which here and there tended to become clustered, and in several others the epithelium was stratified. It is easily conceivable that the consecutive stages of gland formation might have ensued here, and thus have greatly complicated the structure. This is also further of interest, as showing that any cyst, and even those isolated in the midst of more complex masses, may become the nidus for a multiple cyst formation; a point of great interest in relation to the questions raised between the relative value of tapping and total removal of these tumours. The formation of secondary cysts by the constriction of portions of longer ones by bands of fibrous tissue is well illustrated in Plate X, fig. 42, where the preparation was taken from a secondary cyst formed in the wall of one of the tumours containing papilhiry growths, before described, and where across a constricted portion of the elongated cyst, e, a band of fibres, /, is seen crossing. The cyst c seems to have been already constricted off by a similar process {vide description of figures). The only other changes which I have to notice as occur- ring in these cystic growths is their fatty degeneration en masse. This process, which often can be followed in minute cysts at the edge of the larger portions affected in this manner, gives rise to large tumours, from the size of a man's fist downwards, converted into hard, semi-solid masses of a fatty character, in which all traces of structure seem lost. It is more commonly met with in those M-here the contents were previously of a dense colloid-like nature than in those where they have had a more fluid character. The determining cause of this condition must lie, I believe, in some obstruction to the circulation, but I am unable to offer any direct proof of this presumption. I have also observed, in one instance, a very intense inflammation arise iu the interior of a compound ovarian cyst consecutive to