File:Gynecology - (1918) (14771041394).jpg

Identifier: gynecologygrav (find matches)
Title: Gynecology :
Year: 1918 (1910s)
Authors: Graves, William Phillips, 1870-1933
Subjects: Gynecology Genital Diseases, Female Women Gynecology
Publisher: Philadelphia : Saunders
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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the Clitoris.Low power. Cross-section of the clitoris. Around the edge is the stratified squamous epithe-lium. Beneath this and scattered through the stroma are dilated blood- and lymph-spaces. Thehypertrophy in the stroma consists of an increase in connective tissue and the corpora cavernosacannot be made out distinctly. penis, but not perforated by a urethra. It is sometimes advisable to excise theorgan in such cases, expecially if it is a source of irritation. An acquired hyper- 296 GYNECOLOGY trophy of the clitoris is occasionally seen, which is thought to be caused by mas-turbation. There is doubt, however, whether masturbation produces hyper-trophy or whether the hypertrophy is not rather the primary condition, causingmasturbation by irritative influence. Certain it is that masturbation sometimesresults in atrophy of the clitoris (Kiistner). Hypertrophy, if it becomes trouble-some, requires a clitoridectomy. Removal of a normal clitoris for masturbation is of questionable value.
Text Appearing After Image:
Fig. 75.—Hypertrophy of the Clitoris.High power. Along the edge of the section is the squamous epithelium. Many blood-vessels fullof corpuscles are seen throughout the stroma, and to the right are several dilated lymph-spaces.The darker areas are small bundles and muscle-fibers scattered through the stroma. Carcinoma of the clitoris is occasionally met with. It follows the courseand demands the surgical treatment of any cancer of the vulva, namely, com-plete vulvectomy and dissection of the inguinal regions. TUMORS OF THE VAGINA SARCOMA OF THE VAGINA Sarcomata of the vagina are comparatively rare tumors. Two forms are tobe distinguished: (1) Those which occur in children and (2) those which appearin adult life. NEW, GROWTHS 297 The sarcomata of children are usually congenital, and are thought (Wilms) tohave their origin in off-shoots of the mesoderm which become detached duringthe early growth of the Wolffian duct. Histologically, these tumors are primarilycomposed of myxomatous tis

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