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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erous growth may originate from the following conditions: trauma,syphilis, condylomata acuminata, kraurosis, leukoplakia, and Pagets disease. The most com-mon predisposing cause is found in the atrophic kraurotic processes that characterize the vulva NEW GROWTHS 291 in old age. Hence the greater incidence of the disease at that time. On the other hand, itmay develop from syphilis or condylomata acuminata, so that it may appear early. Taussigsyoungest cases were twenty-seven and thirty-three. The disease is unusually malignantwhen it occurs in younger women. Taussig suggests that the cessation of the ovarian secretion after the menopause may be apredisposing element in the development of vulvar cancer, for in two of his comparativelyyoung cases (i. e., under forty-five) a previous operation involving the removal of the ovarieshad been performed. Previous pregnancies are not a factor in the etiology, for the disease appears with aboutequal frequency in those who have not borne children.
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Fig/71.—Cancer of Clitoris with Metastasis in Groin (after Taussig). Cancers that originate from a kraurotic vulva are somewhat more benign in their course.They have a tendency to eversion rather than inversion, suggesting that the tissues in thekraurotic cases possess a greater imperviousness to the progress of the disease. The lymph-glands are involved even in the earliest stages of the disease. Even afterradical removal of the lymph-glands with the vulvar mass the chance for a reappearance of thecancer in the glandular system is three times greater than in the local recurrence. The site of the original tumor was in order of frequency as follows: labial fold, clitoris,Bartholins gland, peri-urethral region. When the disease is locally far advanced it may beimpossible to distinguish the point of origin. The cancers that developed from the labialfolds were more scirrhous in type and slower in growth. Those that sprang from the clitoris orvestibule were of a softer and much more mali

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