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Updated: May 31, 2025
Have you ever had any personal experience of dermoid cysts? We had one in Cullingworth's practice just before his illness, and we were both much excited about it. They seem to me to be one of those wee little chinks through which one may see deep into Nature's workings. In this case the fellow, who was a clerk in the post office, came to us with a swelling over his eyebrow.
Morand speaks of an ovarian cyst from which, in ten months, 427 pounds of fluid were withdrawn. There are old records of tubal cysts weighing over 100 pounds. Normand speaks of an ovary degenerating into a scirrhous mass weighing 55 pounds. Among recent operations Briddon describes the removal of an ovarian cyst which weighed 152 pounds, death resulting.
It is quite possible for a fibrocyst of the uterus to attain an enormous size, equaling the ovarian cysts. Stockard describes an instance of this nature in a negress of fifty, the mother of several children. About twelve years before a cyst in the right iliac region was tapped.
The frightened maid hastened in. He stuttered, so rapidly did he try to speak: "My boots, my saber my cartridge box and the Spanish dagger, which is on my night table. Hurry now!" The obstinate peasant, taking advantage of the moment's silence, began again: "This seemed like some cysts that hurt me when I walked." The exasperated physician shouted: "Hold your peace! For Heaven's sake!
Quite similar to the cases of fetus in fetu are the instances of dermoid cysts. For many years they have been a mystery to physiologists, and their origin now is little more than hypothetic.
The parts of the skeleton most often affected are the articular ends of the long bones, the bodies of the vertebræ, and the pelvis. As the cysts increase in number and in size, the framework of the bone is gradually absorbed, and there result excavations or cavities. The marrow and spongy bone first disappear, the compact tissue then becomes thin, and pathological fracture may result.
It may interfere with digestion by obstructing the passage of alimentary matter, and irritating the intestine. The S. equinum and S. tetracanthum are small worms. Both sclerostomes attach themselves to the lining membrane of the intestine by their mouth parts, and suck blood. The young S. equinum may live in tumor-like cysts that they cause to form in the lining membrane of the intestine.
Far otherwise is it with chronic diseases of the tonsils: they may be riddled with small cysts, they may be constantly in a condition of subacute inflammation dependent on a septic condition, but no notice is taken except when chill, constipation, or a general run-down state of health aggravates the chronic into a temporary acute trouble.
Retention cysts develop when the duct of a secreting gland is partly obstructed; the secretion accumulates, and the gland and its duct become distended into a cyst. They are met with in the mamma and in the salivary glands. Sebaceous cysts or wens are described with diseases of the skin.
A characteristic feature of the cystic variety is the tendency the tumour tissue exhibits to project into the interior of the cysts, constituting what are known as intracystic growths. They are essentially innocent, but intracystic growths, especially in the mamma of women over fifty, should be regarded with suspicion and therefore should be removed on radical lines.
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