The diagnosis, pathology, and treatment of diseases of womem : including the diagnosis of pregnancy / by Graily Hewitt.

  • Hewitt, Graily, 1828-1893.
Date:
1872
Catalogue details

Licence: Public Domain Mark

Credit: The diagnosis, pathology, and treatment of diseases of womem : including the diagnosis of pregnancy / by Graily Hewitt. Source: Wellcome Collection.

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

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    solid tumour, menstruation may be still regular, or comparatively so, or it may be completely absent. Presence or absence of menstruation may be thus equally observed in certain uterine and in certain ovarian tumours. The menstruation criterion failing, we have to fall back upon the data afforded by other particulars of the history of the case, and the results of examination, abdominal, vaginal, &c. We may dispose of several of the minor and less frequent of the •causes of abdominal, uterine, or ovarian tumour, now remaining on our list, in a very few words. . Carcmoma of the Fundus Uteri.—The symptoms attending the presence of this rare disease would be likely to resemble those attendant on polypus of the uteri, i.e. copious bloody discharges, leucorrhoea, but in some cases such have been wanting. The supra-pubic examination by the hand would substantiate little beyond the existence of a tumour of a rounded character, the size of which is limited. We may get rid of the simply solid tumours of the ovaiy in one paragraph, with one or two reservations. It is very rare to find a fibroid ovarian tumour of any considerable size, but the diagnosis of a large tumour of this kind from a large tumour of similar physical characters growing from the uterus would be next to impossible. Thus simple cancer of the ovary rarely produces a tumour of any magnitude, although certain composite tumours of the ovary, partly cancerous, may grow to an enormous size. More- over, simple cancer of the ovary is rare, unless in cases where there is extensive carcinomatous affection of the adjacent or other parts, and consequently profound constitutional disturbance. Enchondroma of the ovary is a very rare disease, the existence of which even has been questioned, and it need not therefore detain us. With simple hcemoiThagic effusions we have no practical interest in this place. Hypertrophy of the ovaries, in the single case recorded by Dr. Bright, produced a tumour not larger than the kidney, and this was a most rare phenomenon. The Wolffian cysts of the ovary rarely exceed the size of an orange, but when larger the tumour could not be distinguished from an ordinary ovarian cyst. Adenoma of the ovary may constitute a hard tumour of considerable size. Dermoid cysts are rare, but in their physical characters, mode of growth, &c., do not present any very characteristic symptoms. They do not, unless in very rare cases, grow so large as the other more common cystic tumours of the ovary. The hydatid tumom- of the ovary is very rare, and might