Papilloma of both Fallopian tubes and ovaries / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Papilloma of both Fallopian tubes and ovaries / by Alban Doran. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    6/16 (page 6)
    tumour they are rather finer even in the part of the tube near e, fig. 2, and certainly finer still in the ovary g, where, when fresh, they looked and felt like hard, brittle warts. Fig. 3 represents the microscopical appearances of a piece of papilloma from e, fig. 2. The papillae are fine and elongated, villiform in fact; some are branched. They bear a distinct investment of columnar epithelium, but I failed to detect cilia; however, the specimen has certainly . suffered from remaining immersed in water for several hours after the operation, and the epithelium shows signs of detachment by maceration in many places. Under these circumstances, cilia, as every microscopist knows, disappear. I speak of these growths as papillomata because they consist of very vascular papilliform projections from the mucous membrane and from the lining membrane of the ovarian cysts, and bear epithelium after the fashion of normal papillae. They are identical with the growths which I described in the thirty-first volume of the ‘ Transactions,’ and the growths described by Ur. Coblenz in his important memoir “ Zur Genese und Entwickelung von Kystomen im Bereich der inneren Sexualorgane,” published in Virchow’s ‘ Archiv,’ vol. lxxxiv, 1881, and in his “ Das Ovarialpapillom,” ibid., vol. lxxxii, 1880. Mr. Bland Sutton and myself have since the appearance of these papers made fresh researches in the same direction, but to Dr. Coblenz is due the honour of having first clearly demonstrated the pathological and morphological significance of papilloma of the ovary as a disease perfectly distinct from the common multilocular ovarian cyst. The growths on the surface of the tubal mucous membrane resemble the growths in the ovary which the above-named observers, as well as myself, have uniformly described as papilloma, and differ greatly from the adenomatous vegetations which grow within the loculi of many multilocular ovarian cysts. How far tubal and ovarian papilloma have any relation will presently be discussed. This case is the third where papilloma of the Fallopian tube can be said to have constituted a distinct disease. In all these cases there was evidence of previous pelvic inflammation. In the first case (‘ Trans. Path. Soc.,’ vol. xxxi, and Mus. R. C. S., Path. Series, No. 4584), where the papillomatous growths were exuberant, the ostium of the affected tube was patulous, and ascites was pre- sent; the corresponding ovary was not enlarged. In the second (‘ Trans. Obstet. Soc.,’ vol. xxviii) the affected tube was closed and