Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . oscopically, telangiectatic areas are to be foundtogether with interstitial haemorrhage, hyaline areas, andliquefaction. Torsion of a myoma is far less likely to produce acutesymptoms ^ than is torsion of an ovarian cyst, but thesetwisted growths may cause pain and rise of temperature,due to the contraction of adhesions. They also maybecome infected, break down, and suppurate. As alreadystated, these growths may become separated from the uterusand lie free in the peritoneum. In Figu


Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . oscopically, telangiectatic areas are to be foundtogether with interstitial haemorrhage, hyaline areas, andliquefaction. Torsion of a myoma is far less likely to produce acutesymptoms ^ than is torsion of an ovarian cyst, but thesetwisted growths may cause pain and rise of temperature,due to the contraction of adhesions. They also maybecome infected, break down, and suppurate. As alreadystated, these growths may become separated from the uterusand lie free in the peritoneum. In Figures 62 and 63, pages ^^ and 56, can be seen someomental veins at the top of the tumours, showing that thegrowth was getting a supply of blood from omental such myomas Kelly and Cullen give the name parasitic. Torsion of the myomatous uterus may also be produced bymultiple, sessile, and interstitial myomas, to the whole mass ^ See Appendix II., also pages 77 and 179. Plate XXIII Fig. 87 :6T Figure S7. Showing that dilated Ivmphaticsare not necessarily associated with oedema.§ in. obj. 2 •?> s Figure 88. Showing an adeiiitcrous myomatous polypus withengorged blood-vessels due to stasis. This condition is spokenof as telangiectassis but there is no new formation ofvessels. {From Eden & Lockyers Gymeco/ogj for Studentsand Practitioners, 1916.) To FACE IAGE 76 IV TELANGIECTASIS ^^ of which the cervix is related as a pedicle. This conditionis partial only, but in certain cases it has produced haemato-metra. Kelly and Cullen figure the case of Bastianelliof Rome, where torsion caused spontaneous amputation ofthe myomatous body from the cervix uteri ; this is prob-ably unique. The amount of torsion usually met with isthrough the fourth part of a circle, so that the appendagescome to lie back and front ; torsion carried farther thanthis is rare. In a case of T. W. Edens the twist tookplace through i8o degrees, the right and left appendageshaving exchanged sid


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative