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]
Catalogue details

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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    the former), but presenting an approximation to the latter form; instead, however, of forming a uniform layer, the cells appear tilted up, and grow at an angle to the inner surface of the cyst, assuming an increasingly elongated form, containing large round nuclei in the deeper layers, while in tlie most superficial the cells are columnar. The growth, therefore, evidently appears to be one from the superficial strata of the stroma of the cyst-wall, and he connection of the epithelium on the surface with the deeper layers which belong to the connective tissue bears a great resemblance to that described by Dr. Billroth^ in the epithelium of the frog's tongue, though I have not been able to find here the elongated spindle-shaped processes which he has described as forming a connec- tion between the two kinds of tissue in the latter situa- tion. Each of these papillae have a rounded extremity; they contain a large loop of vessels; their stroma, as seen in Plate VIII, fig. 1], b, is of a delicate, hyaline, finely striated, membranous character, interspersed with numerous elon- gated nuclei. (This figure was taken from a specimen from which the epithelium had become separated in mani- pulation.) Plate VIII, fig. 12, shows a structure similar to those in figs. 4 and 5, a, b, but more highly magnified, to show its epithelial covering. The cells are all either of the spheroidal or columnar variety, most commonly the latter. They may swell by imbibition, and assume verj' large sizes {vide fig. 2, c?), and they have a considerable tendency to undergo early and rapid fatty degeneration. These growths tend to form large composite masses through a simple repetition of the process by which their original growth took place, ensuing from the sides or extremities of those already formed, while at the same time each papilla or growth, whether of the primary or secondary variety, tends to enlarge in all direc- tions. Various modifications of this process are seen in figs. 5, d, d, d; figs. 6, a, b, b; and in fig. 7. At fig. 11, b, is the stroma of one of these growths denuded of its epithelium. 1 'Miillur's ArcUiv,' 1858, p. 159.