REPORTS OF SOCIETIES
BJOG: an International Journal of Obstetrics and Gynaecology
described the case of a woman, 50 years of age, who for 11 yesrs had noticed an abdominal tumour associated with hemorrhage and bladder symptoms, which was thought to be a fibroid. It grew rapidly, and at the time of operation reached 24 inches above the umbilicus. I t was removed, together with the uterus and appendages. The patient made an uneventful recovery, and remains perfectly well now, more than 24 years later. The uterine cavity was enlarged, and meaaured 33 inchea in length, the ma@
... n length, the ma@ bulging into it from the upper part. The ma88 roee up from the fundus in the form of a cyst the size of a six months pregnancy. The cyet contained spontaneously coagulating, slightly yellow fluid. The wall of the main cyst contained other cysts, varying in size from a cherry to a hen's egg. They were filled with clear fluid; their wdls -re perfectly smooth and lined by a definite membrane, visible to the naked eye, which was covered with a single layer of flat angular cells resembling endotlielium. In certain place, however, especially in a definite area in the large& cyst, small masses of new growth projected into the cavity. It was thought that the tumour was probably a lymphangioma with small nodules of endotheliomatous new growth in the w d s . The tumour weighed 44 om. MALIQNUT EMBRYOMA OF THH OVARY. Mr. TARQBTT and Mr. HICKB. gave an acmunt of two casea of malignant embryoma of the ovary, including references to the recent literature of the subject. It was remarked that such growths were usually included in the group of terabmata, but on account of their close relationship to the dermoid tumours of the ovary, the authors preferred the title of malignant embryoma. They offered the following conclusions :-I. Malignant embryomata of the ovary are rare. They usually m u r in young adulta, but may be met with in childhood. 2. The tumours may attain a large size; they are ueually pedunculated and devoid of adhesions unless the pedicle has become twisted. 3. Secondary growths are frequently reetricted to infection of the peritoneum. They may present the same compoeite structure aa the primary growth, or be wholly composed of earcomatous elementa. 4. Pain and ascites are constant symptoms ; ascites may develop early, even before actual infection of the peritoneum. In several instancm 'Vidc p. 84.