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

  • Fox, Wilson, 1831-1887.
Date:
[1864]
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Licence: Public Domain Mark

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

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    tions of the appearances observed. It is only with regard to the mode of origin of these spaces and masses of cells that I have to differ from Professor Forster. (e) Another mode of origin of cysts of the ovary has been described by Kokitansky^ as a cysto-sarcoraa uterinum ovarii. In the paper quoted below he describes one case in which glands similar to the uterine glands were found in the stroma of the ovary^ and associated with small cysts ; but he does not describe this as a general appearance of ovarian cysts. This condition corresponds very closely with that which I have quoted from Mr. Wells as forming a variety of these tumourSj and termed by him alveolar adenoid tumour. (f) Of cysto-carcinoma of the ovary I have seen but few examples. In one case (which, through the kindness of Mr. Spencer Wells, I had an opportunity of examining), removed from a young woman, there were several small cysts in the cancerous mass, and others appeared to be forming. In two of these I could trace the I'emains of a membrana granulosa, which pointed to their origin from the Graafian follicles. Into others, a little larger, villous pro- jections of cancerous matter were taking place through the partially invaded wall of the follicle. I could find in these cysts no traces of ova. There is, 1 believe, no occasion for me in the present day to point out the distinctions or to dwell on the con- fusion which formerly existed between colloid disease of the ovary, as this multilocular cystic formation has some- times been termed, and the so-called alveolar or colloid cancer. The two structures have nothing in common beyond a certain amount of resemblance between the gela- tinous matter contained in the ovarian cysts and the colloid or gelatinous intercellular substance of the cancer, a mate- rial which, however, is common to a large class of patho- logical products. ' • Path. Anat.,' ii, p. 423 ; ' Zeitseh. (ler Gesellsch. der Aerzte zuWicii,' 18C0, No. 37, Sept. 10; Ueber Uterusdriisen Neubildung in Uteriis- uiid Ovarial Saicomcii. (I am indebted for the perusal of this paper to the kindness of Air. S. Wells.)