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.

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    Although the prognosis in this case was considered unfav- orable owing to the incomplete operation, the patient has, during the six months following the operation, gained 49 pounds. The sudden cessation of menstruation is of especial interest as associated with the diseased condition of the ovaries. Description of Plate. Fig. 1.—Natural size of tumor from right side, hardened in Mul- ler’s fluid and then cut open. Springing from its outer surface are papillary masses. Internally it is composed of one large and several smaller cysts. Projecting from the inner surface of these are papil- lary masses. The large cyst, c, contains a tenacious fluid which was coagulated by the Muller’s fluid, a is a cross section of the normal Fallopian tube. Fig. 2 is the other half of Fig. 1. The coagulated fluid has been washed out of the large cyst cavity, enabling one to see the papil- lary masses more distinctly. Fig. 3 is a section of a small nodule taken from the inner surface of the cyst in Fig. 1 at the point represented by b. (Winckel Ocul. I, Obj. 3.) d is the cyst wall, which is composed of wavy fibrous tissue poor in blood supply. The inner surface of the cyst is cov- ered by one layer of cylindrical epithelium. The papillary mass presents a tree-like appearance. It also is composed of connec- tive tissue, which becomes less dense the farther it is away from the cyst wall. All the folds and convolutions of this papillary mass are covered by one layer of cylindrical epithelium. In some places the cells have been cut slantingly and then look somewhat like squamous epithelium. The orange-colored areas are blood-vessels.