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.

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    there was no ascites, the growths were exuberant, the ovary was embedded in adhesions, and was apparently free from papillomatous disease. In the third case, above described, the disease affected both tubes, which were closed, and there was no ascites, the growths were less exuberant; both ovaries were papillomatous. The first case is yet living, though the late Professor Schroder, who referred to it,1 believed that the papilloma was evidently malignant. The second died on the fourth day after operation. The disease certainly did not appear to be malignant either in this or in the third case. The significance of ascites I have already discussed at length (‘ Trans. Obstet. Soc.,’ vol. xxviii) ; in the case here described it was absent because, or at least chiefly because, neither tubes were patent towards the ostium. The relation of papilloma of the ovai’y to papilloma of the tube may next be considered. There is no directly pathological relation between the two diseases. Papilloma of the ovary apparently arises from relics of the parovarium which are found in the hilum of the ovary (paroophoron) or even stray into the ovarian paren- chyma proper among the follicles. I have demonstrated this theory in papers which are published in the thirty-second, thirty- third, and thirty-fourth volumes of the ‘ Transactions.’ No such relics enter into the tissues of the Fallopian tube, where papillo- matous disease appears more evidently as a result of inflammation. Yet although papilloma of the ovary is more essentially a tumour in its clinical characters (however it may differ from the common multilocular cyst pathologically), there is evidence that it may follow old pelvic inflammation. There was “ uncontrollable menor- rhagia,” and other symptoms of what is generally termed “ chronic disease of the appendages,” in one of the cases which I have described in the ‘ Transactions.’ In the case which forms the subject of this paper, the history of pelvic inflammation was very clear. Turning to the condition of the tubes in this case, there can be little doubt that it was due to the pelvic inflammation. Mr. Sutton has frequently detected a slightly papillomatous condition of the tube caused, he believes, by the extension of gonorrhoea from the lower part of the genital tract. Dr. Bumrn, I may here remark, claims to have discovered that the pathology of “ unmixed ” 1 * Die Krankheiten der weiblichen Geschlechtsorganc,’ 7th edition, 1886, p. 361.