Fibromata and cysto-fibromata of the ovary / by Harry C. Coe.

  • Coe, Henry C., 1856-1940.
Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: Fibromata and cysto-fibromata of the ovary / by Harry C. Coe. 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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    of the syringe being introdnced quite superficially beneath the capsule. Under moderate pressure a beautiful net-work of lymphatics burst into view near the point of insertion, and at the same time a similar injection was seen on the inside of the cyst-wall. The same result was obtained in two trials. A nat- ural inference was, that here was a cyst, with a regular endo- thelial lining, in direct connection with the lymphatic system, ' hence a dilated lymphatic, surprised in the very act. But | unfortunately for the integrity of the theory, on hardening the j specimen, and making sections through different parts of it, it ' was found to be distinctly cancerous in nature, though the alveoli were quite small and distributed in a curiously nregular way. Some of them were in the immediate vicinity of the cyst, one in particular invading its wall. Uo cell-lining to the cyst could be discovered, so that the probabihty is that the cells found in the fresh fluid and scrapings had escaped from the alveoli. The stroma of the tumor was generally myxomatous, except around the cyst, where parallel rows of spindle-cells were seen in the midst of fibrous tissue. Sections through the cavity itself proved that the injection had indeed penetrated through the entire thickness of the mass by means of the lymphatic channels. In some places the coloring was general and not sharply deflned, probably where it filled interstitial spaces, but at the very edge of the cavity there was a clearly marked branching vessel, such as those figured by Leopold and Beck- linghausen. Uo endothelial Iming was brought out in these vessels by the method of staining employed. Although this tumor did not belong to the class which we have been studying, it has been mentioned because of the opportunity which was afforded for testing the results of injection in the fresh speci- ! men. Doubtless the relation of the lymphatics is the same as in the benignant growths. We hope some day to have an opportunity of confirming in this way the statements of authors with regard to the “ fibroma lymphangiectodes.” * 1 In the writer’s opinion, future investigations will be most valuable according as they are made by means of careful injections of /res/i tumors. Only by establishing positively the relation between the dilated spaces and^thJlymphatic system, can we hope to clear up the doubtful oiigmo the commencing cysts.