PARTIAL HYPERPLASIA. (POLYPI.) tinder this name we include the rare cases which are recorded indiffer ently as polypi or pediculated fibromata. Kiwisch refers to them as the most frequant variety of polyp forms, and describes them as ordinary mucous tumors, analogous to the glandular polyps of other mucous sur faces. He seems to have met with them frequently, since he states that in the majority of his observations they were the size of a hen's egg. Ac cording to Kiwisch they may spring from any portion of the vagina, although the posterior wall is the most common site. Generally they have a thin pedicle or they are club-shaped,. and the texture is the same as that of other mucous polypi. They cause symptoms only when they attain considerable size and work their way into the vestibule. In a case of labor Kiwisch witnessed such traction on a polyp the size of a lien's egg, that it became inflamed and degenerated in part. I am familiar with only a single case, which was shown me by Eppinger in the Prague col lection. It is a broad-based, conical polyp, three-quarters of an inch long, and about as thick as the little finger at its base. The surface is smooth
and covered by the epithelial layer. In texture it consists of simple hyperplasia of the submucous tissue and ectatic lymph vessels. I can find no recorded instance of the pediculated club-shaped growths which Kiwisch describes. As analogous to them I can simply mention the string-like or tongue-like projections which are occasionally found on the borders of the hymen in new-born fcetuses, which may attain quite a size. I recently removed such a mucous, string-like projection, about two and a half inches long, and the thickness of stout twine. It turned out to be a simple enlarged papilla, in the connective tissue of which were ectatic vessels.
A positive diagnosis of partial hyperplasia of the mucous membrane may lie reached by the presence of a slowly developed, broad-based, poly poid, soft tumor, of normal mucous membrane color, which differenti ates it from the various growths of the vaginal mucosa.
The treatment consists in excision.