Papillo-cystoma of the ovary / by Thos. S. Cullen.

  • Cullen, Thomas Stephen, 1868-1953.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Papillo-cystoma of the ovary / by Thos. S. Cullen. 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.

    3/8 (page 3)
    is yellowish in color. Springing from the uterine side of the tumor is a pinkish cauliflower-like mass which has a some- what narrowed base. The interior of the tumor is occupied by five cysts; these are smooth-walled, but have, developed upon their inner surfaces, small papillary-like masses. The fluid in the large cyst is somewhat tenacious, in the smaller ones limpid. The tube is 4 cm. long, 5 mm. in diameter. Its fimbriated end is free. Parovarium is normal. Microscopically.—The cyst walls are composed of connective tissue moderately rich in cells. Several corpora fibrosa are scattered throughout the wall. The outer surface is lined by flat epithelium. The papillary masses springing from the outer surface are composed of finger-like projections of con- nective tissue which become branched toward their termina- tion. The connective tissue near its attachment to the cyst wall is moderately rich in cells, but as it passes outward the cells diminish in number and the stroma presents a hyaline appearance. The surface epithelium as it approaches the pap- illary masses becomes cuboidal, and where covering the masses is cylindrical. The inner surface of the cyst wall is lined by cylindrical epithelium. The papillary masses springing from the interior, Pig. 3, present the same appearance as those on the outer surface, but appear to have no connection with them. Left Side.—The ovary is converted into a similar tumor of the same size; here, however, the papillary masses tended to spring from the depressions between the cysts. Both tubes normal. Source of Origin.—The outer ones undoubtedly spring from the germinal epithelium. It is the opinion of Professor Welch that those on the inner surface of the cysts originated in the cells of the Graafian follicles ; the cysts forming first, and the papillary masses developing secondarily. This mode of origin is, we consider, indicated by the small number of cysts present. The small masses from the tissue surrounding the rectum presented a typical papillary appearance. Professor Abel made a chemical examination of the fluid from the abdominal cavity. The fluid was yellowish in color and presented a greenish tinge, was alkaline in reaction and had a specific gravity of 1020. It contained serum albumen, serum globulin, a trace of sugar and fibrin.