Identifier: americanjournalob06ameruoft (find matches)
Title: American journal of obstetrics and gynecology
Year: 1920 (1920s)
Authors: American Gynecological Society
Subjects: Gynecology Gynecology Obstetrics Obstetrics
Publisher: St. Louis : C.V. Mosby Co.
Contributing Library: Internet Archive
Digitizing Sponsor: Internet Archive

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ot palpable;no visible or palpable tumor masses. Vaginal examination revealed a slight amount CARCINOMA OF BARTHOLIN S GLANDS G77 of greenish pus between the labia; no cutaneous irritation. Tlie lett labium majusbulged over the introitus, due to a mass the size of a lemon which seemed to arisein the region of Bartholins gland. It was hard, fluctuated slightly, rather mov-able and was smooth everywhere except on its vaginal aspect, where it w-as roughand nodular like a carcinoma. This roughened area presented numerous smallwhite ulcers varying in size fi-om 5 to 25 mm. which bled quite readily. The entiremass was very tender and the skin over it was somewhat bluish and edematous.The right labium wag negative. Pus could be expressed from the urethra. Smearsfrom the same were negative for gonococci. The cervix was small and conical;uterus freely movable and in good position; adnexa were not palpable. The leftchain of inguinal glands were enlarged and hard, the largest being the size of a
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Fig. 1.—Carcinomatous degeneration of theing rise to squamous cell f the gland giv- hickory nut. The blood count: Hb. 95 per cent; RBC 4,620,000; WBC 11,000;Blood pressure 135/80. Wassermann 4+ to both antigens. The preoperative diagnosis of chronic granuloma, possible carcinoma, was made.Operation was performed on March 3, 1922. The tumor was found to be adherentto the levator ani in its lower pole, and to extend to the ramus of the pubislaterally. The dissection was carried as wide as possible, and a small piece of theurethra was accidentally removed with the upper pole. Recovery was uneventful,and the pathologic report is here given. Gross description: The specimen is an oval mass of 6x3x3 cms. The surfaceis irregular in outline and slightly hemorrhagic. It is firm in consistency. The cutsurface is light in color, moist, and granular, with no eridence of necrosis. On 678 THE AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY scraping across the cut siiilaco a lluiil ccintaiiiii.f; sma

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