272 J. F. GUDERNATSCH 



The sclerotic blood vessels, as every^vhere seen in the sections, 

 are typical of the kryptorchic testicle. 



THE OVARIAN STRUCTURE 



The female portion of the genital gland is rather small, the rudi- 

 mentary ovary being a little nodule only 3 mm. in length and 2 

 mm. in width and thickness. It is enclosed within a cyst in the 

 tunica between the testicle and the head of the epididymis (fig. 

 1, o). The typical ovarian stroma is easily recognized by the 

 arrangement of the spindle-shaped connective tissue cells (fig. 

 5). This structure is nowhere else to be found in the human body. 

 Cortical and medullary portions are distinguishable. The former 

 consists of dense connective tissue rich in cells, and traversed by 

 small blood vessels. The slender cells sometimes resembling 

 smooth muscle fibres, are arranged either in strands or twirls. In 

 the central portion of the ovarian body the connective tissue con- 

 tains fewer nuclei and its elements are arranged in broader 

 streaks. The blood vessels are large and bent. 



The entire nodule is surrounded by a single-layered, cubical 

 or cylindrical epithelium (fig. 5) which although rather primi- 

 tive shows here and there slight cellular differentiation. Some 

 cells are larger and broader and their nuclei are large and 

 more circular and contain less chromatin than the neighboring 

 cylindrical cells (figs. 6, 7, y). These cells are very probably 

 primordial ova, yet a definite diagnosis cannot be made. How- 

 ever the decision that the body is ovarian in structure is sufficiently 

 warranted by the typical stroma with its surface epithelium. 



The ovary remained in an early stage of development as is 

 indicated by the rather high columnar cells in . certain regions 

 (fig. 6). A migration of primordial ova into the stroma and the 

 formation of Graafian follicles has not taken place, probably 

 due to the abnormal conditions of development. This accords 

 with earlier reports on the subject which state that in all cases 

 of hermaphroditism, whether true or spurious feminine, the epi- 

 thelial part of the ovary is below the normal in development. 

 Various transitions have been described from almost matui'e 



