Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Chorionic carcinoma (chorionepithelioma) has beendiagnosed as a solitary interstitial myoma. I was present in September 1906 when Cullen openedan abdomen, in the Johns Hopkins Clinic, under the im-pression that he had to deal with a large interstitialmyoma. The mass which had been fixed in the pelvismoved freely under ether, and suggested an interstitialmyoma about 6 inches in diameter. As soon as thetumour was exposed, Cullen and I both thought it was apregnant uterus. The vessels
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Chorionic carcinoma (chorionepithelioma) has beendiagnosed as a solitary interstitial myoma. I was present in September 1906 when Cullen openedan abdomen, in the Johns Hopkins Clinic, under the im-pression that he had to deal with a large interstitialmyoma. The mass which had been fixed in the pelvismoved freely under ether, and suggested an interstitialmyoma about 6 inches in diameter. As soon as thetumour was exposed, Cullen and I both thought it was apregnant uterus. The vessels were much dilated, but onthe posterior surface was a slight prominence with a curi-ous yellowish discoloration of the tissue beneath. Thediagnosis was ultimately rendered conclusive by Cullenincising the uterus, when a very vascular growth wasdiscovered, differing from sarcoma and carcinoma, and bothof us had no doubt that it was a chorionic carcinoma. The X CORPOREAL MYOMA : INTERSTITIAL 189 general practitioner who had sent the patient to hospitalthen informed us that some time previously he had curetted. Fic. 148.—Showing generalised carcinoma of the uterus, which was diagnosed as myoma. her, and he subsequently sent the material to me in London,and this proved to be portions of a chorionic carcinoma. Figures 148 and 149 show^ a condition which may notinaptly be described as a general carcinomatosis of body and 190 DIAGNOSIS OF UTERINE MYOMA chap. neck of the womb. When I removed the uterus, I thoughtit was the seat of a solitary interstitial myoma becomingsubmucous, and it was not until section was made thatthe real nature and particular interest of the specimen
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
