Gynecological Diagnosis

Cover Gynecological Diagnosis
Gynecological Diagnosis
Walter L Walter Lincoln Burrage
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Gas may be formed in the cyst and then a tympanitic note will be given to the percussion over it.
5. Degenerative Processes Including Malignancy. The following secondary changes may take place in an ovarian tumor, although COMPLICATIONS OF OVARIAN TUMORS 319 none of them can be diagnosed with certainty. On account of the necessity of speedy operation indications of malignancy require special attention, however.
(a) Calcareous degeneration.
(6) Fatty degeneration.
(c) Myxomatous degeneration.
(d
...) Changes in the fluid contents from straw color with specific gravity of from 1010 to 1050 to thick or semisolid, of various colors and consistencies.
(e) Malignant degeneration. Carcinoma, sarcoma, endothe- lioma, and teratoma are the malignant processes affecting ovarian tumors. Suspicion of malignity attaches to double-sided tumors, i. E. , tumors of both ovaries, and to partial development in the broad ligament. Ascites is common in the case of malignant tumors, and is apt to be small in amount except in the late stages of the disease.


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