File:Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year (1920) (14776995741).jpg

Identifier: transactionsofam3319amer (find matches)
Title: Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ...
Year: 1920 (1920s)
Authors: American Association of Obstetricians, Gynecologists, and Abdominal Surgeons
Subjects: Gynecology Obstetrics Gynecology Obstetrics
Publisher: St. Louis : C.V. Mosby
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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and fibrous tissue coverings not in- 288 CHARLES W. MOOTS vaded by sarcoma cells; mass seems entirely encapsulated. 2. Section through centerof growth and region of ducts. Fibroblastic sarcoma cells separated by fine fibrillarnetwork and arranged in bundles separated by trabecule of connective tissue con-taining lymphatics, blood vessels, and occasionally ducts. Among the sarcoma cellsbundles of denser cells with dark staining nuclei form indefinite tubules. Some ofthese seen on cross section resemble cell masses. These cells are embryonic in type,and no basement membrane can be distinguished. 3. Section through one of thesmooth placques. Fibroblastic sarcoma cells lie closely packed and surrounding tu-bules resembling embryonic testicular gland tubules. These seem almost completelyobliterated by the invasion of the sarcoma cells, but, here and there, a definite opentubule is found lined by a single layer of low cuboidal cells, some of these in crosssection, others cut longitudinally.
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Fig. 3.—High power, / and 2 showing tubules. Summary.-—Fibroblastic sarcoma of embryonic testis. The mass may have beenan ovotestis wiih the ovarian stroma completely obliterated by sarcomatous process. COMMENT From the clinical history as well as the pathology found, I feel itreasonable to conclude that this patient should be classified as a lateralpartial glandular hermaphrodite, having a normal ovary on the right,and a testicle or an ovotestis on the left side, the sarcomatous degen-eration preventing a positive determination of the latter propositions.As far as I am able to learn, this is the only case in which surgicalprocedure was followed by a complete return to the female type, afterhaving taken on such marked male secondary sex characteristics. DETACHMENT OF ADHERENT PLACENTAS AND DELIVERY IN ABORTION By C. E. Ruth, M.D., Des Moines, Iowa THE great frequency of abortion from whatever cause, togetherwith its possible grave complications, gives the subject sufficientimporta

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