File:Gynecological diagnosis (1910) (14775792794).jpg

Identifier: gynecologicaldia00burr (find matches)
Title: Gynecological diagnosis
Year: 1910 (1910s)
Authors: Burrage, Walter L. (Walter Lincoln), 1860-1935
Subjects: Women
Publisher: New York, London, D. Appleton and Company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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as one which dis-tributes its elements by metastasis to other part- of the body. In a general way one may say that the cystadenomata (multi-locular cysts), the parovarian cysts, the fibroids of the ovary, andthe dermoid cysts are benign; the carcinomata and sarcomata aremalignant, and the papillary tumors are od the border land. Thatis to say, the papillary cystadenomata tend to implant their ele-ments on the surrounding structures, there to grow, but they donot invade the underlying structures as do the carcinomata andsarcomata. Etiolocy WD Symptoms Ovarian tumors are found most often during the time of Bexualactivity in the life of women, but may occur at any age. Chiene 294 DIAGNOSIS OF DISEASES OF THE OVARIES and F. B. Lund have each removed an ovarian cyst from a childthree months old, and Thornton operated successfully on a womanninety-four years of age. It is supposed that the germ of most tumors exists from fetallife and that when the proper stimulant comes the tumor develops.
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Fig. 125.—Very Large Ovarian Cyst with Characteristic Emaciation aboutthe Chest and Facies Ovarina. (Kelly.) The controlling factors are unknown. The symptoms consist,during the early stages of the growth of an ovarian tumor, in theusual syndromata of uterine disease, and may be of little momentto the patient, so that her attention is not directed to the pelvis.They are menstrual disturbances,—such as dysmenorrhea, menor- OVARIAN TUMORS 295 rhagia, or scanty menstruation,—a sense of weight in the pelvis, or,if there is peritonitis, pain. When the tumor attains a considerablesize, so that it fills the pelvis or rises out of it into the abdomen,there are pressure symptoms. These are vesical or rectal tenes-mus, frequent micturition, and constipation; in the case of largetumors, edema of the vulva and of the lower extremities causedby pressure on the iliac veins; also hemorrhoids. In rare ithere have been noted albuminuria and suppression of urine fromhydronephrosis caused by press

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