File:Pathology and treatment of diseases of women (1912) (14595000168).jpg

Identifier: pathologytreatme00mart (find matches)
Title: Pathology and treatment of diseases of women
Year: 1912 (1910s)
Authors: Martin, August Eduard, 1847- Jung, Ph. (Philipp Jacob), 1870-1918
Subjects: Gynecology Gynecology
Publisher: New York : Rebman company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ularis major (Bartholini), and aretherefore localized in the lower part of the labium majus. They aremostly unilateral, seldom bilateral. They are looked upon as retentioncysts, developed by an obstruction of the excretory duct of the gland.Their contents consist of mucous glandular secretion. Their walls aresmooth, covered by stratified cylindrical epithelium, and not rarely stillintact glandular ducts are found in them. (See Fig. 110.) The vulva becomes displaced in its lower portion to the opposite sideby the unilaterally developed cysts. The cysts may attain a consider-able size. The papillomata appearing at the vulva in the form of the so-calledacuminate condylomata have been discussed already under the inflam-matory conditions (see p. 154). At the urethral opening, particularlyin old women, smaller or larger polypoid proliferations, usually of ahigh red color and intense development of bloodvessels, are not uncom-mon. Anatomically they are characterized as angiomata. With longer
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FlG. 110.—Wall of a Cyst of the Glandula Vestibularis Major. Stratified cylindricalepithelium lines the cyst-wall. Deeper down unchanged glandular ducts. (Authorspreparation. Zeiss, Obj. A A, Oc. 4.) existence the surface of the mucous membrane may become partly necrot-ic, in consequence of the settling on them of urine and micro-organisms.They are then covered with a greasy, grayish-yellow pseudomembrane. The symptoms of benign tumors are less marked as long as they arestill small. Only when of large size, especially if they are pedunculated,do they give rise to the sensation of interference during walking, cohab-itation, and urination. The small polypi of the urethra may lead espe-cially to painful ischuria, which can be relieved only by catheterization,as well as to chronic cystitis. There can be no doubt as to the diagnosis. The tumors can be rec-ognized without any difficulty by inspection; whether in a given case asoft fibroma or lipoma is in question may be easily decided by

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