Contributions to the histogenesis of the papillary cystomata of the ovary / by J. Whitridge Williams.

  • Williams, J. Whitridge (John Whitridge), 1866-1931.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: Contributions to the histogenesis of the papillary cystomata of the ovary / by J. Whitridge Williams. 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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    seen dilating into small cysts, which were lined by ciliated epithe- lium and contained papillary ingrowths. A similar condition was noted in a small superficial papilloma of the ovary in another case. These structures he thought were of Wolffian body origin and corresponded to Koelliker’s “Mark- straenge.” From his elaborate study of the subject, he concluded “ that the lining of Pflueger’s ducts, as well as Koelliker’s “Mark- straenge,” is capable of functioning as a real mucous membrane, since they are both descendants of such structures; and that the starting point of the glandular cystomata is from Pflueger’s ducts and that of the papillary ciliated cystomata from Koelliker’s “ Markstraenge,” at a time before they are differentiated, the one into ova and the other into granulosa cells. The work of Fischel16 was confirmed byStryczek17 in every particular, and he stated that growths developed from parovarial elements were far more frequent than was usually supposed. The theory of development from remains of the Wolffian body has appeared fascinating to English and American writers on the subject, and even now, when most others have forsaken the theory, they still cling to it. Thus, Doran18 still accepts the theory in its widest possible sense. For he regarded even very small papillary cysts in the zona parenchymatosa of the ovary and far removed from the hilum (the seat of the remains of the Wolffian body), as of Wolffian body and origin, and stated that “ they must have originated from Wolffian elements in the stroma of the parenchyma of the ovary.” And in speaking of a case of papillary broad ligament cyst, he said “ the absence of any trace of ovary in this specimen of Mr. Thornton is strong evidence in favor of the supposition that the cyst arose in the hilus of the ovary and forced its way into the broad ligament, and on the other hand absorbed or destroyed the tissue of the parenchyma of the ovary.” In his work,19 “ Tumors of the ovary, fallopian tubes and broad ligaments,” he recorded a most interesting case, which he observed in the ovary of a seven months’ foetus. It contained several small cysts 1-16 to 1-12 of an inch in diameter, which were lined by ciliated epithelium and filled by papillary growths ; and in spite of the fact that the ovary contained no ova, while the other ovary contained them in large quantities, he concluded that they were also derived from Wolffian body elements.