. Tumours, innocent and malignant; their clinical characters and appropriate treatment. the part of the uterus in whichthey arise :— 1. In the wall of the uterus: such are termed inter- stitial or intramural. 2. In the endometrium: these are said to be submucous. 3. In the layer of muscle-tissue subjacent to the peri- toneum : these are termed subserous. Fibroids may arise in and remain confined to any one ofthese situations, or all the varieties may be seen in the sameuterus; and there is no limit to their number. I havecounted one hundred and forty fibroids in one uterus; theyvaried in size
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. the part of the uterus in whichthey arise :— 1. In the wall of the uterus: such are termed inter- stitial or intramural. 2. In the endometrium: these are said to be submucous. 3. In the layer of muscle-tissue subjacent to the peri- toneum : these are termed subserous. Fibroids may arise in and remain confined to any one ofthese situations, or all the varieties may be seen in the sameuterus; and there is no limit to their number. I havecounted one hundred and forty fibroids in one uterus; theyvaried in size from a doves egg to that of a duck. It not infrequently happens that when a fibroid is confined 168 VTEBtNE FIBROIDS 169 to one wall ol the uterus and appears as a single tumourexternally, it will be found on section to consist of two ormore tumours growing in association, but eacb possessing itsown capsule. Such may be conveniently called conglomeratefibroids. 1. Interstitial fibroids.—This variety may occur singly orin multiple. Such tumours in their early stages resemble, in. Fig. 89.—Uterus in sagittal section showing interstitial andsubmucous fibroids. section, knots in wood; they have distinct capsules, and arefirm and even hard to the touch. The bundles of spindle-celled tissues are usually interwoven in such a manner as topresent a very characteristic whorled appearance. There isno limit to their growth, and they sometimes attain a largesize, and may weigh upwards of twenty and even thirtykilogrammes. 2. Submucous fibroids. — These tumours arise in thedeeper parts of the endometrium, and, when they attain anappreciable size, project into the cavity of the uterus and 170 CONNECTIVE-TISSUE TUMOURS give rise to one variety of fleshy polypus of the tibro-myomas are at first sessile and invested onthat surface which projects into the cavity of the uteruswith mucous membrane. As they increase in size they dilatethe uterine cavity and tend to become pedu
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
