File:Clinical and pathological observations on tumours of the ovary, fallopian tube, and broad ligament (1884) (14785512313).jpg

Identifier: clinicalpatholog00dora (find matches)
Title: Clinical and pathological observations on tumours of the ovary, fallopian tube, and broad ligament
Year: 1884 (1880s)
Authors: Doran, Alban Henry Griffiths, 1849-1927
Subjects: Women Tumors Ovarian Diseases Ovarian Neoplasms
Publisher: London, Smith, Elder
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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and tend to develop papillo-matous gi-owths, as do cysts in 2, tissue of the hilum. 12. The duct of Gartner, oftenpersistent in the adult as a fibrous cord. 13. Track of that duct in the uterine wall;unobliterated portions are, according to Coblenz, the origin of papillomatoiK cysts inthe uterus. The vertical tubes of the parovarium and the horizontalcanal into which they run, superiorly, are easy to recognise.If one of these tubes be .prepared for the microscope it is mostprobable that, though patent, nothing will be found within itexcepting broken-down epithelium, and, perhaps, small tractsof the inner wall still lined with cubical epithelial cells. Thecanal or efferent duct can often be traced inwards till it becomesa slender band that runs in the direction of the uterus (fig. 6).This band is the duct of Gartner, more persistent in many of TUBE AND BROAD LIGAMENT. 43 the lower mammalia than in woman. I have found it well-marked in over a iifth of the specimens that I have examined.
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Fig. 6.—Left Broad Ligaieext. Its posterior layer has been removed. Parovarinm■well formed. Duct of Gartner distinct; the horizontal tube has sunk downwards inprocess of dissection, so that the duct appears to run upwards as well as Inwards. Acyst is developed from one vertical tube. A large pyriform cyst is continuous, by athin cord, with the horizontal duct. For several years, the attention of anatomists and surgeonshas been frequently directed to a pair of ducts situated one oneach side of the female urethra. They appear to be almost, ifnot quite constant, and, morphologically-speaking, they werehailed on their discovery as positive proofs of the persistence ofthe inferior portion of the efferent duct of the Wolffian body inwoman. Coblenz and other writers have traced Gartnersducts in woman and in domestic animals, from the parovariumto the walls of the urethra ; Kocks, Kleinwachter, and especiallySkene of Brooklyn, all describe the ducts found in the urethraof the human female

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