Operative gynecology : . is cystin all probability was a dilated portion ofa Gartners duct. (Cullen, ut supra.) Fig. 197.—Section of Cyst of Anterior VaginalWall. Gyn. Path. No. 4644. A is a 15-diameter enlargementof the wall. The outer vaginal covering (a) is walls (6) are composed of fibrous tissue and the innersurface (c) has a delicate covering. B is a 480-diameter en-largement of a portion of A, and at d is seen the inner lining,composed of a single layer of cuboidal epithelium. Fig. 196 is a characteristic example of a cyst situated just beneath theurethra. Only rarely do the
Operative gynecology : . is cystin all probability was a dilated portion ofa Gartners duct. (Cullen, ut supra.) Fig. 197.—Section of Cyst of Anterior VaginalWall. Gyn. Path. No. 4644. A is a 15-diameter enlargementof the wall. The outer vaginal covering (a) is walls (6) are composed of fibrous tissue and the innersurface (c) has a delicate covering. B is a 480-diameter en-largement of a portion of A, and at d is seen the inner lining,composed of a single layer of cuboidal epithelium. Fig. 196 is a characteristic example of a cyst situated just beneath theurethra. Only rarely do the cysts become pedunculate. Where the cyst is VAGINAL CYSTS. 325 situated in the vaginal fornix the walls are liable to be considerably thickeras the duct lies more deeply imbedded in the tissue. The cyst walls proper are composed of fibrous tissue; sometimes inter-mingled with these are bundles of non-striped muscle fiber. These were dem-onstrated in two of our cases. Where the cyst is small, it is often possible ^«M^K. Fig. 198.—Cross Section through the Wall of a Cyst 1 Cm. in Diameter; the Cyst was foundso near the edge of the vagina that its outer wall is skin. At a the epidermis is normal, and scattered throughout the tissue are sebaceous glands, as seen at &and other points, c indicates spindle-shaped connective-tissue cells running parallel to the cyst shows the inner surface of the cyst lined by one layer of cuboidal epithelium. Path. No. 1390. Mag-nified 36 times. to make it out, but in those of large size, the muscle is so spread out thatsections from various portions of the wall often fail to reveal it, although atother points it may be present. The inner surface of the cyst is lined withone layer of cylindrical, cuboidal, or almost flat epithelium (see Figs. 197and 198). Vaginal Cysts Arising from Urethral Glands.—If vaginal cystsever owe their origin to urethral glands, such a condition is of very rare occur-rence. The possibility, however, can not be
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