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]
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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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    somewhat exceptional; and, as I remarked before, the cysts produced by this means do not appear to be very numerous; and some of them, as seen in fig. 42, are apparently sub- ject to multiplication by constriction and division in a manner analogous to the other forms. In one respect they still maintain the glandular type, for they are not formed vnthin solid structures, but external to them, and in con- nection with a glandular secreting surface, as these cauli- flower and deutritic growths, equally with the Haversian fringes of synovial membranes,^ must, I believe, be regarded as secreting surfaces, and equivalent to everted crypts or follicles. I have not been able, while making these observations, to obtain any instances of multilocular tumours containing dermic structures. As, however, the presence of glands, both of the sebaceous and sudoriparous type, has been demonstrated in them both by Steinlin (1. c.) and by Kohl- rausch,'* I see no difficulty in entertaining the belief that in the cases where they occur, and where they must be regarded as the analogues, by a further aberration in deve- lopment, of the structures which I have described, they will be found to be the origin of tlie secondary cysts found in connection with them, more particularly as these dermic glands have been proved by Sir A. Cooper,^ Wernher,' Forster,* and Remak,^ to be not unfrequently the source of cyst-formations of very complex structure. So that in these cases, also, the process will be in its essential cha- racters similar to those which I have described. With regard to the determining cause of this remarkable condition of growth and development, we must, I believe, as yet confess ourselves almost entirely in ignorance. Fiihrer^s^ theory, founded on some facts which have come ' ' Quain and Sbarpey's Anatomy,' ed. 1848, p. 301. ' 'Miiller's Archiv,' 1843. 3 Quoted in ' Paget's Lectures,' pp. 436, 437. * L. c, vol. i, p. 191. ^ 'Deutsche Klinik,' 1854, p. 170. Ibid., 1852, pp. 200-1.