cs and
treatment of the most frequent classes of tumors which affect the
ovaries and uterus.

OVARIAN TUMORS generally consist of one or more cysts or sacs, developed
within the ovary, and filled with a fluid, or semi-fluid matter, which
is formed in their interior. The cysts vary in size, in some instances
being not larger than a pea, while in others they are capable of
containing many quarts of fluid. In one case operated upon at the
Invalids' Hotel and Surgical Institute, thirty-five pints of fluid were
taken from three cysts.

The effect of ovarian tumors on the duration of life is shown by the
statistics of Stafford Lee. Of 123 cases, nearly a third died within a
year, more than one-half within two years from the first development of
reliable symptoms, while only seventeen lived for nine years or upwards.

FIBROID TUMORS of the uterus are composed of fibrous tissue, identical
in structure with that of the uterine walls. They are met with in all
sizes, from that of a small shot to that of a mass capable of filling
the entire cavity of the abdomen. Cases are on record in which these
tumors have attained the weight of seventy pounds.

The manner in which fibroid tumors terminate life is generally by
prostration and debility produced by pressure on, and consequently,
interference with, the function of some one or more of the organs
essential to life; or by anaemia and debility, produced by the severe
hemorrhages, which the intra-uterine or sub-mucous form not infrequently
induces.

POLYPI OR POLYPOID TUMORS of the uterus are of three kinds, cystic,
mucous and fibrous. They vary greatly in size, sometimes being as large
as a tea-cup; and their point of attachment may be extensive or consist
only of a small pedicle. The cystic and mucous varieties may spring from
any portion of the mucous surface of the uterus, but they are more
frequently met with growing from the mucous membrane lining the cervical
canal, and pendent from the mouth of the womb, as represented in Fig. 21
and in Fig. 26, Colored Plate IV; while the fibrous variety generally
grows from the sub-mucous tissue at or near the fundus, or upper
portion, of the uterus.

The most prominent symptoms of polypoid growths are hemorrhage, which is
almost invariably present, leucorrhea, pain, backache, and a sense of
weight and dragging in the pelvis.

The best method of treatment, and, in fact, the only effectual one, is
removal with the _ecraseur_, polypus f