THE REPRODUCTIVE ORGANS OF THE FEMALE. 691 



thick. Under these conditions the surface of the ovary may be smooth 

 or rough. 



On the other hand, the organ may be smaller than normal as the re- 

 sult of the formation of dense new interstitial connective tissue, and its 

 surface greatly roughened and distorted (Fig. 444). Sometimes the for- 

 mation of new dense tissue may be largely confined to the walls of the 

 arteries, which become prominent and tortuous. Obliterating endarte- 

 ritis is not infrequent. The atrophied ovary may be largely made up of 

 thick-walled arteries and of fibrous masses which are the result of incom- 

 plete resolution of the corpora lutea. 



Occasionally a more or less extensive hyperplasia of cells in the corpus 

 luteuni leads to the development of larger or smaller new-formed, convo- 

 luted, nodular masses in the ovary, which are sometimes regarded as 

 tumors. ' Sarcomata of the ovary appear to originate in such an hyper- 

 plasia (see Fig. 447). 



Tuberculous Inflammation of 

 the ovaries is rare, and may 

 accompany tuberculous inflam- 

 mation of other organs, par- 

 ticularly the peritoneum and 

 Fallopian tubes. It usually 

 results in the production of 

 dense caseous nodules of con- 

 siderable size. 



Syphilitic Inflammation in 

 the form of gummata is un- 

 common. 



TUMORS. 



Fibroma is not common nor 

 usually of great importance. 

 Such tumors may be small or 

 large. They are usually dense 

 in texture, and seem often to 

 originate in the tissue formed 

 in the closure of the ruptured 

 Graafiau follicle. They may FIG . ^.-PAPILLOMA OF THE OVARY. 



Contain Cysts Or be accompanied Shows cyst with papillary growth within. 



by cysts of the surrounding 



stroma. Papillary fibromata of the surface of the ovary are not infre- 

 quent (Fig. 446). They may contain cysts (Fig. 445), and the growth 

 may be transplanted from this situation to the general peritoneal surfaces 

 (Fig. 348, page 573). 



Chondroma of the ovaries is described, but is rare ; cartilage not in- 

 frequently occurs, however, in dermoid cysts. 



1 For recent studies on the nature of the corpus luteum see Cohn, Arch. f. mik. 

 Anat., Bd. Ixii., 1903, p. 745; also Fmenkd, Arch. f. Gynakol., Bd. Ixviii., 1903, p. 438. 



