Tuberculosis of the Female Genitalia 351 



The surgeon, meeting with such condition, would logically 

 incise the tumor, revealing the nature of the lesion. I have 

 repeatedly opened cysts in these parts. In so doing, I al- 

 ways draw the cervix back into the vulva before operating, 

 so that the field is freely open to view and the contents 

 which may be released are readily seen. If purulent, they 

 at once raise the question of tuberculosis, which, once raised, 



Fig. hi — Tuberculosis of the Vaginal Portion of the Cervix 



/, Greatly enlarged tubercular lip of os uteri externum ; 2, a second, lesser 



tubercular tumefaction of lip ; j, mucous folds of the first annular 



cervical fold. Between it and / is the os uteri externum. 



should not be dismissed until the diagnosis has been made 

 perfectly clear. On no account should a cow be permitted 

 to copulate when a cervical lesion exists, unless it is clearly 

 shown to be non-tuberculous. Even harmless-appearing 

 cysts should not be passed over carelessly. Like vulvar 

 cysts, discussed below, they may be tuberculous. The cervi- 



