Fibromata and cysto-fibromata of the ovary / by Harry C. Coe.
- Coe, Henry C., 1856-1940.
- Date:
- 1882
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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![This author reports only two cases. Bedford’ is silent with regard to the subject. Churcliiir simply says tliat “ fibromata of the ovary are identical with those of the utenis.” No cause is known for them, he says. Goodell’s° experience is summed up in the clinical report already alluded to. Sims* in his “ Uterine Surgery ” and clinical reports, seems to have met with no cases. Einmet^ has seen ovarian fibroids, but too small for operation; Thomas considers them as rare and calls attention to the distinction between true cysto-fibromata and fibroid cysts, quoting Farre as to the ]orobable origin of the larger growths from the uterus. Dr. Thomas mentions a recent undoubted case of his own. This hasty review of the prevailing opinions of various authors with regard to the present subject will pre- pare us to better appreciate the difficulties which lie before us, in dealing with a theme hitherto so lightly touched upon. The investigation naturally takes a twofold course, leading to (1), the consideration of fibromata of the ovary, (2), to the more difficult study of cyst-formation in these tumors. It will be unnecessary to repeat the description of an ordinary fibrous’^ growth, such as may be found in various regions of the body, and is so readily recognized by the surgeon. Macrosco- pically there is little danger of mistaking one (unless degenera- tion be far advanced), while the microscopical appearances are pictured in every modem text-book. But even though the main features of the class are so familiar, to say that all of these tumors are identical in their structure would be erroneous. One of the most interesting facts with regard to new formations, whether we accept the theory of Waldeyer,” or that of Cohn- heim,’° as to their origin, is the modification which they undergo in different situations”—an effort (to use a modern scientific ' Dis. of Women, 1857. Dis. of Women. »Sup. Am. Journ. Obstet., Mch., 1882. * Vide also cases in Am. Journ. Obstet. * Gynecology, p. 775. Dis. of Women, p. 675. ’The words “fibroma,” “fibroid,” “fibrous growths,” etc., are used synonymously, no such artificial distinction being made between them as is attempted by some surgical authors. 8 Vide cases of such tumors arising from different regions, as mentioned in Ericbsen, last ed. 8 Ueber den Krebs. '8 Allgem. Pathologie. , t.- j Thus Liicke (Lebre der Gescbwiilste, p. 133): “ Die Form desBindege- webes und etwaige accidentelle Elemente in den Fibromen biingen von der Art des Mutterbodens ab.”](https://iiif.wellcomecollection.org/image/b22336400_0012.jp2/full/800%2C/0/default.jpg)
