Gynecological diagnosis and pathology . is suffering from cancer of the uterus isat once suggested. If the cancer is situated in the cervix, it is at oncefelt on vaginal examination; if in the body of the uterus, it is not soeasily recognised. In the majority of cases all that can be said is thatthe uterus is enlarged, and a diagnosis cannot be made until the interiorhas been explored either by means of the finger or with the curette. Inorder to do this, it is usually necessary to give the patient an anaestheticand to dilate the cervix with graduated or expanding dilators. If suffi-cient dilat
Gynecological diagnosis and pathology . is suffering from cancer of the uterus isat once suggested. If the cancer is situated in the cervix, it is at oncefelt on vaginal examination; if in the body of the uterus, it is not soeasily recognised. In the majority of cases all that can be said is thatthe uterus is enlarged, and a diagnosis cannot be made until the interiorhas been explored either by means of the finger or with the curette. Inorder to do this, it is usually necessary to give the patient an anaestheticand to dilate the cervix with graduated or expanding dilators. If suffi-cient dilatation be obtained to admit the finger, the condition of theuterine mucosa can be felt and the diagnosis confirmed. In most cases,however, it is better simply to introduce the curette and bring away somefragments of tissue for microscopic examination. Figs. 95 and 96 showthe appearances presented by such scrapings. It is important not todelay carrying out this exploration, because if the disease be recognised IOO GYNECOLOGICAL PATHOLOGY. ?yyk^ ^MM&Mf^ Fig. 97.—Malignant Adenoma of Endometrium. The epithelial arrangement maintains its glandular character and there is littletendency to heaping up of epithelial masses. Malignancy is shown by the deeppenetration into the muscular wall (fig. 98).
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
