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Updated: May 23, 2025
The curious cases mentioned by older writers, and called abortion by the mouth, etc., are doubtless, in many instances, remnants of extrauterine pregnancies or dermoid cysts. Maroldus speaks in full of such cases; Bartholinus, Salmuth, and a Reyes speak of women vomiting remnants of fetuses.
He expresses his belief that childhood and infancy are favorable to laparotomy. Kidd removed a dermoid from a child of two years and eleven months; Hooks performed the same operation on a child of thirty months. Chiene extirpated an ovary from a child of three; Neville duplicated this operation in a child one month younger; and Alcock performed ovariotomy on a child of three.
The literature of dermoid cysts is full of accounts of puzzling tumours met with in all sorts of situations. The treatment is to remove the cyst. When it is impossible to remove the whole of the lining membrane by dissection, the portion that is left should be destroyed with the cautery. Ovarian Dermoids.
When you are exposed day and night, during whole months, to the torment of insects, the continual irritation of the skin causes febrile commotions; and, from the sympathy existing between the dermoid and the gastric systems, injures the functions of the stomach.
Dermoids are found in the palate and pharynx, and open dermoids of the conjunctiva are classified by Sutton with the moles. According to Senn, Barker collected sixteen dermoid tumors of the tongue. Bryk successfully removed a tumor of this nature the size of a fist. Wellington Gray removed an enormous lingual dermoid from the mouth of a negro. It contained 40 ounces of atheromatous material.
The cyst was freely incised, and there were found numerous openings of sweat glands, from which drops of perspiration escaped when the patient was sweating. Dermoid cysts of the thorax are rare.
In a case of Sangster, reported by Politzer, although most of the dermoids, as usual, were like fibroma-nodules and therefore the color of normal skin, those over the mastoid processes and clavicle were lemon-yellow, and were generally thought to be xanthoma until they were excised, and Politzer found they were typical dermoid cysts with the usual contents of degenerated epithelium and hair.
The ovarian dermoid appears clinically as an abdominal or pelvic tumour provided with a pedicle; if the pedicle becomes twisted, the tumour undergoes strangulation, an event which is attended with urgent symptoms, not unlike those of strangulated hernia. The treatment consists in removing the tumour by laparotomy.
There are peculiar cases of hair in the bladder, in which all history as to the method of entrance is denied, and which leave as the only explanation the possibility that the bladder was in communication with some dermoid cyst. Hamelin mentions a case of this nature. It is said that all his life Sir William Elliot was annoyed by passing hairs in urination.
In monstrosities and dermoid cysts, for example, we seem to catch forbidden sight of the secret work-room of Nature, and drag out into the light the evidences of her clumsiness, and proofs of her lapses of skill, evidences and proofs, moreover, that tell us much of the methods and means used by the vital artisan of Life, the loom, and even the silent weaver at work upon the mysterious garment of corporeality.
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