. Gyncology clinique médicale et chirurgicale, les excroissances aller. Il peut être simple, adoucissement local tractionà hydropisie d'un follicule central, ou le résultat d'inter-stitial l'hémorragie. Vrai fibro-kystes proviennent, comme dans les fibromes utérins, de la dilatation des espaces-lymphatique adjacent (géodes), qui enfin coalesceand forme de grandes cavités remplies d'un liquide séreux clair ; par degen gras-tion, hémorragie, etc., le fluide peut devenir plus épaisse et trouble. Truefibro-les kystes de l'ovaire (lymphangiectodes fibrome) sont extrêmement rares.1 Il est un fait curieux que l'ascite est une politique commune de l'accompagnement des ovarianfib

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. Clinical gyncology, medical and surgical. aller growths it may be limitedto simple local softening, dropsy of a central follicle, or the result of inter-stitial hemorrhage. True fibro-cysts originate, as in uterine fibroids, fromthe dilatation of adjacent lymph-spaces (geodes), which finally coalesceand form large cavities filled with a clear serous fluid ; through fatty degen-eration, hemorrhage, etc., the fluid may become thick and turbid. Truefibro-cysts of the ovary (fibroma lymphangiectodes) are exceedingly rare.1 It is a curious fact that ascites is a common accompaniment of ovarianfibromata, though a satisfactory explanation of the phenomenon has neverbeen offered, since it occurs in connection with small neoplasms, when neitherpressure on neighboring vessels, torsion of the pedicle, nor peritoneal irrita-tion can be urged as a cause of the effusion. The practical importance 1 For additional information on the pathology of those tum>rs, consult the authorspaper in the American Journal of Obstetrics, vol. xv. p. 561.. Microscopical appearance of an ovarianfibroma. (Howell.) NEOPLASMS OF THE OVARIES, TUBES, AND BROAD LIGAMENTS. 041 of this fact is this, —that the surgeon usually associates ascites with malig-nant disease, and thus might l)e deterred from operating upon a solid tumorof the ovary which was really of a benign character. Sarcoma.—A study of the normal ovarian tissue, (specially in fetallife, would lead to the inference that this variety of neoplasms should bethe most common met with in this locality. While this is not the case, ovarian sarcoma is certainly more frequent than is stated by Schroeder (onein sixty). The relative frequency of sarcomata in children holds true inthe ovary, where they form (according to Sutton) a considerable percentageof the entire number. The round-celled variety occurs, but is very rarea- compared with thespindle-celled. It is probable thatthe majority of solid ovariangrowths are lihro-sareomata.Sarcoma is essent

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