Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . here reproducedfrom CuUens Figure 41, page 142^ (see Fig. 193).This tumour is described as an Adenomyoma springingfrom the left utero-ovarian ligament. The description ofthe macroscopic appearances reads as follows : Perfectlyindependent from the uterus and attached to the utero-ovarian ligament on the left side, is a myoma, 6 cm. inlength, 4 cm. in breadth, and 3 cm. in thickness. Project-ing slightly from the surface are a subperitoneal cyst i diameter, and numerous smaller
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . here reproducedfrom CuUens Figure 41, page 142^ (see Fig. 193).This tumour is described as an Adenomyoma springingfrom the left utero-ovarian ligament. The description ofthe macroscopic appearances reads as follows : Perfectlyindependent from the uterus and attached to the utero-ovarian ligament on the left side, is a myoma, 6 cm. inlength, 4 cm. in breadth, and 3 cm. in thickness. Project-ing slightly from the surface are a subperitoneal cyst i diameter, and numerous smaller ones. On makingsections of the nodule we find in the lower part cysticspaces reaching cm. in diameter. Sections through themiddle portion show cystic spaces, some i mm., others ^ hoc. supra cit. Y 322 EXTRAUTERINE ADENOMYOMA chap. Sections through the 2 mm., and some 4 mm. in diameter,attachment of the myoma to the utero-ovarian Hgamentreveal a cystic space, 7 mm. in length, and approximately 3 mm. broad. It has a definite yellowish lining andencloses chocolate-coloured contents ; several of the spaces. ^^ Fig. 193.—Adenomyoma springing from the left utero-ovarian ligament (T. S. Cullen).The uterine mucosa trespassed to some extent into the muscular wall. Cullen says : It seems reasonably probable that the adenomyoma of the utero-ovarian ligament [heredisplayed] at one time lay next to the uterine mucosa, and that it gradually pushedoutwards until it became subperitoneal and to all intents and purposes lost its continuitywith the uterus. [In my own opinion this is pushing the mucosal theory too glands in the growth are much more likely to be of Wolffian or even of serosalorigin.—C. L.] are filled with a brownish putty-like material and haveyellowish margins. The ovary contains a regarded this case as an example of a subperitoneal II ADENOMYOMA OF OVARIAN LIGAMENT 323 adenomyoma which had migrated from the uterus to theutero-ovarian ligament. W
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
