File:Transactions of the Southern Surgical and Gynecological Association (1920) (14780496211).jpg

Identifier: transactionsofso3319sout (find matches)
Title: Transactions of the Southern Surgical and Gynecological Association
Year: 1920 (1920s)
Authors: Southern Surgical and Gynecological Association (U.S.)
Subjects: Surgery Gynecology Surgery Genital Diseases, Female
Publisher: (S.l.) : The Association
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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uding simple cysts, dermoids,sarcoma and carcinoma. Only two instances, however,have been previously recorded in which the condition wasoperated upon in the first year of life. That the two caseshitherto reported in young infants as well as the authorscase were simple cysts and were first noted at birth or shortlyafterwards suggests that this type of growth may reachconsiderable size in the fetus, and that the earlier in lifethese tumors make their appearance the better the chancesare that the growth is benign rather than malignant. In a resume of the 60 cases of ovarian tumors occurring inchildren ten years of age and younger reported up to 1904,Weil1 states that 21, or 35 per cent, were dermoids; 19, or 31.6per cent, cysts, single or multilocular; 15, or 25 per cent,sarcoma, and the remainder carcinomata or papillomata.Twenty-six cases under the age of ten have been recordedsince Weils report was made. Two were simple cysts, 8dermoids, and 16 malignant—either carcinoma or sarcoma.
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Fig. 2.—Appearance of patient, aged ten months, after operation. WILLIAM A. DOWNES 345 The youngest recorded case of malignancy in an infant is oneyear and eight months, and of a dermoid two years.In studying the statistics of the 60 cases reported prior to1904 it will be seen that more than 66 per cent, are classed asbenign and 32 per cent, as malignant, whereas of the 26 casesrecorded since that date, 62 per cent, are classed as malignantand 38 per cent, benign. The probable explanation for theapparent discrepancy in these findings is due to the fact thata more careful and thorough microscopical examination wasmade in the later series. Donhauser? of the Bender Labora-tory in 1906 called attention to the importance of makinga careful histologic study of all so-called simple cysts of theovary with the view of deciding the question of malignancy.A comparison of the pathologic findings in the early and lateseries of cases quoted above proves the value of this authorssuggestion. Furthe

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