The pathology and surgical treatment of tumors . rcinoma from the upper part of the cervix, invading the fundus ; X 150(after Cornil) : m,e, hypertrophied glands of the body of the uterus, like those of chronic metritis; t, en-larged glandular cavity, the walls showing many layers of epithelium ; b, adjacent gland-wall in a similarstate ; v, vessels ; c, connective tissue. Cylindrical-celled carcinoma is much more malignant than the squa-mous-celled variety. Carcinoma of the cervical canal creeps along themucous membrane into the cavity of the uterus. The intra-uterinepart of the tumor present


The pathology and surgical treatment of tumors . rcinoma from the upper part of the cervix, invading the fundus ; X 150(after Cornil) : m,e, hypertrophied glands of the body of the uterus, like those of chronic metritis; t, en-larged glandular cavity, the walls showing many layers of epithelium ; b, adjacent gland-wall in a similarstate ; v, vessels ; c, connective tissue. Cylindrical-celled carcinoma is much more malignant than the squa-mous-celled variety. Carcinoma of the cervical canal creeps along themucous membrane into the cavity of the uterus. The intra-uterinepart of the tumor presents under the microscope a structure similar tothat of the primary tumor (Fig. 233). Primary carcinoma of the body of the uterus is a much rarer affec-tion than carcinoma of the cervix. Clinically, carcinoma of the uterinecavity presents itself in two forms, the circumscribed {¥\^. 234) and thediffuse (Fig. 235). In the form the tumor often attainsconsiderable size before it breaks down, and frcfiucntly it assumes a CARCINOMA. 353. Mi ^^smm m%~P. mm^- ^i^mww Fig. 233.—Cylindrical-celled carcinoma of the body of the uterus, extending from the cervix ; X 150(after Cornil) : c, c, connective tissue ; a, cavity full of cells, the external layer being cylindrical: these cellshave a tendency to become detached from the wall, well seen at o: f, cavity with mucous cells, and largercells in mucous degeneration. polypoid shape. In the diffuse variety the mucous membrane is exten-sively involved from the beginning, and the disease infiltrates the mus-


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectneoplas, bookyear1895