On the origin, structure, and mode of development of the cystic tumours of the ovary / by Wilson Fox.

  • Fox, Wilson.
Date:
1864
Catalogue details

Licence: Public Domain Mark

Credit: On the origin, structure, and mode of development of the cystic tumours of the ovary / by Wilson Fox. Source: Wellcome Collection.

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    of origin of cysts in such structures,1 are, I think, suscep- tible of a different explanation. (b) Another view, which has received the support of Vogel2, Henle,3 Velpeau,3 Bruch,* Gierse,5 Wedl,0 and in a doubtful manner of Kokitansky (' Path. ^ Anat.,' i, 230), regards cysts as spaces formed in areolar tissue, either pre- existing or of new formation, which spaces become filled with fluid either from serous effusions or fibrinous exuda- tions, and subsequently become encapsuled by denser layers of areolar tissue, while an endogenous formation of epi- thelium takes place on their inner wall. This method, according to Wedl (1. c), prevails both in the papillary growths occurring in the interior of, and also in the septa between the cysts. (c) Closely allied to the foregoing is that described by Kokitansky7 as the most common method of origin of the more complex forms of multilocular tumours of the ovary, consisting, according to him, of the breaking up of the stroma into a trabeculated structure ( Fachwerk, or panel- work), composed of membranous bands, uniting at their angles, and enclosing spaces or loculi filled with colloid or gelatinous matter, and giving rise to the peculiar alveolar texture seen on section of some of these tumours; these spaces which communicate with one another being, according to Kokitansky, the source of the peculiar complex formations met with in these cystoid growths. He explaius the in- crease in the number of cysts by the continuous growth of these alveoli, which may either take place within the wall of the parent cyst (which then covers the secondary growth, giving rise to dense masses), or free in the interior of other 1 'Ueber die Kyste; and 'Path. Anat.,' 1853, part i. 2 ' Path. Anat.,' transl. by Day, p. 240. 3 Quoted by Rokitansky, ' Ueber die Kyste.' * Zur Entwickelungs-geschichte der Path. Cysten.; 'Zeitsch. Rat. Med.,* 1849, p. 131. 5 'Verhand. der Gesellsch. fur Geburtshulfe,' ii, p. 182 fi ' Pathological Histology,' ' Syd. Soc. Trans.,' pp. 84, 460. • ' Path. Anat.,' i, p. 109, fig. 48 ; p. 234, fig. 92.