314 DISEASES OF THE VAGINA AND VULVA 



Treatment. Complete amputation should be done as early 

 as possible. Ligation, the same as for hypertrophy of the 

 mucosa, is perhaps the most satisfactory method. 



Papillomata. These occur at the juncture of the skin 

 and mucous membrane of the vulva. They appear as small, 

 rounded, pedunculated (usually) tumors. They often have 

 a roughened surface. 



Treatment. Papillomata should be removed with the 

 scissors, and the bases cauterized with silver nitrate. They 

 rarely reappear. 



Sarcomata. These are found occasionally on the vaginal- 

 mucosa. They are characterized by their rather rapid 

 growth, uneven surface, and tendency to spread to adjacent 

 structures. If possible a small section should be obtained 

 for microscopic examination. 



Treatment. Treatment is unsatisfactory and should not 

 be attempted. 



Venereal Granulomata. Venereal granulomata have been 

 described under venereal granulomata in the male animal. 

 In the female they appear on the mucosa of the vulva and 

 at the posterior portion of the vagina. They consist of pro- 

 gressive neoplasms varying in rapidity of growth. 



Treatment. Complete removal should be attempted, 

 except in very advanced cases. 



