English: Elephantiasis Vulvae. There is great hypertrophy of the labia majora with a tendency to papillary outgrowth. On the left thigh can be seen several metastatic papillary excrescences and a scar where some of them had been removed at a previous operation. The treatment of this case was a complete vulvectomy.

Identifier: gynecologygrav2 (find matches)
Title: Gynecology
Year: 1916 (1910s)
Authors: Graves, William Phillips, 1870-1933
Subjects: Gynecology Genital Diseases, Female Women Gynecology
Publisher: Philadelphia and London : Saunders
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ityan enormous lengthening of the labia minora. The term elephantiasis is alsoapplied to this condition. Elephantiasis in many cases does not at first give symptoms. The growthmay become exceedingly edematous, causing lymphorrhea. If the surface be-comes ulcerated the condition may be very painful, resembling esthiomene.With the larger tumors coitus is entirely interfered with. The treatment of elephantiasis is removal by a partial or complete vulvec-tomy, according to the extent of the enlargement. A special form of elephantiasis is seen among the Southern negroes who live GENERAL INFLAMMATORY PROCESSES 189 in the damp, swampy regions about the plantations. The disease has beenshown to represent a condition of lymph-stasis, usually brought about by theFilaria sanguinis hominis, sometimes by syphilis and other eruptive diseases.The fibrous growth of the tissues is not due primarily to the lymph-stasis, butto recurrent erysipelatous infections of the affected part, each attack of which
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Fig. 48.—Elephantiasis Vulvae.There is great hypertrophy of the labia majora with a tendency to papillary outgrowth. On theleft thigh can be seen several metastatic papillary excrescences and a scar where some of them hadbeen removed at a previous operation. The treatment of this case was a complete vulvectomy.1 leaves the tissues more hypertrophied (Hill). The disease is more common inmen, affecting the scrotum or lower extremities. In women it is apt to involvethe external genitals. It is quite likely that this form of the disease is identicalwith that described among the Orientals. 1 Operation by Dr. F. A. Pemberton, Free Hospital for Women. 190 GYNECOLOGY

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