. Essentials of gynecology, arranged in the form of questions and answers prepared especially for students of medicine ... Submucous fibroid. {Schroeder.) Subperitoneal Fibroid. 3. They may suppurate. This occurs most often in submucousfibroids, especially after instrumental traumatism ; rarely in thesubperitoneal variety after torsion of the pedicle. 4. Submucous fibroids may become more and more pedunculated,forming polypi. They are sometimes extruded from the the capsule ruptures, and spontaneous enucleationoccurs. 5. Cysts are formed by the softening of tissue and by the d
. Essentials of gynecology, arranged in the form of questions and answers prepared especially for students of medicine ... Submucous fibroid. {Schroeder.) Subperitoneal Fibroid. 3. They may suppurate. This occurs most often in submucousfibroids, especially after instrumental traumatism ; rarely in thesubperitoneal variety after torsion of the pedicle. 4. Submucous fibroids may become more and more pedunculated,forming polypi. They are sometimes extruded from the the capsule ruptures, and spontaneous enucleationoccurs. 5. Cysts are formed by the softening of tissue and by the dilationof lymph-spaces. 184 ESSENTIALS OF GYNECOLOGY. 6. Fibromyomatous uteri are occasionally the seat of carcinomaof their mucosa. 7. The fibroid nodules occasionally undergo a sarcomatous trans-formation. 8. The subperitoneal ones alone or with the uterus may undergoaxial rotation. Minor degrees of this are quite common. Whenthe rotation occurs suddenly, and through a considerable arc, theremay be pain, shock, and increase of size of the tumor, due to inter-stitial hemorrhasres. Subperitoneal Fibroid. What changes occur in the uterus ? The muscular wall hypertrophies especially in the submucous orinterstitial varieties. The mucous membrane also hypertrophies,both in glands and connective tissue. Over the tumor the mucousmembrane is thin and sometimes ulcerates. The uterine hemor-rhages come chiefly from the hyperplastic areas. Changes in the position of the uterus are often produced:— 1. It may be drawn up into the abdomen. 2. It may be prolapsed. 3. It may be inverted, especially from submucous fibroids attachedto the fundus. Describe briefly fibroids of the cervix. They, too, may be either interstitial, submucous or subperitoneal;they are usually hard and single. FIBROID TOIORS OF THE UTERUS. 185 The subperitonear often grow out between the folds of the broadhgament. The submucous and interstitial are apt to become pedunculatedand form polypi. The interstitial fibr
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