PARTIAL HERMAPHRODITISM 143 



"and, although it is difficult to do this with much Author's 

 " accuracy owing to the distance between the mirror ^^ 

 *' and the objects reflected in it, I was able to satisfy partial 

 " myself that they measured not less than 24 mm. he J\.,. 

 " which is scarcely below the average in the male. ap r 

 " The breadth appeared to be nearly lj times what is 

 " usual in the female. The epiglottis and arytenoids 

 " are large for a female, but I think less strikingly so 

 " than the true cords and the laryngeal cavity." 



The histological findings in this case are probably Histological 

 typical of glandular partial hermaphroditism, in which author's case 

 there is an ovitestis on one side only ; and therefore of glandular 

 merit a short discussion. herm-i 



The right genital gland is a normal ovary, although a P hroditism - 

 small and not in a particularly active state. There 

 are to be seen in section a mature Graafian follicle and 

 small hyaline bands in the ovarian stroma the remains 

 of corpora albicantia. The histological appearances of 

 the left organ present quite a different picture. A low- 

 power view shows that the central portion, which forms 

 nearly the whole of the organ, is made up of what, in the 

 first instance, was supposed by the pathologist to be a 

 malignant neoplasm. A thin capsule of normal ovarian 

 tissue Graafian follicles, primordial ova, and stroma 

 covered in places by capsular epithelium surrounds 

 this central portion (fig. 43). 



The nature of the internal part of the organ is, of 

 course, the interesting feature of the case. It contains 

 tubules lined for the most part with several layers of 

 columnar cells, although in places the tubules are seen to 

 be lined with one layer of epithelium and to be widely 

 distended with secretion ; there are, also, irregular masses 

 of columnar cells, and a large number of interstitial cells 

 which are eosinophil and resemble exactly the interstitial 

 cells of the testicle (fig. 44). Among the epithelial cells 

 lining some of the tubules are to be seen, here and there, 

 large cells with big nuclei : these may possibly represent 

 spermatogonia. There is, too, between the tubules, a 

 large quantity of fat which stains well with Sudan III. 



