. Operative gynecology. two round-celledand one sjjindle-celled sarcoma. Histologically the attention is at oncedrawn to the large areas of the growthshowing practically no necrosis and per-fectly preserved. The tissue is composedof a homogeneous mass of cells with lit-tle intervening stroma; the cells haveround vesicular nuclei and are remark-ably uniform in size; traversing the growthare many delicate blood capillaries whichramify in all directions, dividing the tissueup into alveoli. If necrosis takes place itis usually along one margin, the underly-ing growth remaining intact. Secondary Sa


. Operative gynecology. two round-celledand one sjjindle-celled sarcoma. Histologically the attention is at oncedrawn to the large areas of the growthshowing practically no necrosis and per-fectly preserved. The tissue is composedof a homogeneous mass of cells with lit-tle intervening stroma; the cells haveround vesicular nuclei and are remark-ably uniform in size; traversing the growthare many delicate blood capillaries whichramify in all directions, dividing the tissueup into alveoli. If necrosis takes place itis usually along one margin, the underly-ing growth remaining intact. Secondary Sarcoma of theUterus. — The uterus is occasionallysecondarily involved by a sarcoma of the ovary. In 1894 I operated on apatient where there was a large friable tumor occupying the right side ofthe pelvis; it penetrated the uterus and formed a large mass in the uterinecavity, while a portion of the growth projected through the external os. examined this case and found that it was an angio-sarcoraa of the ovary. Fig. 476. — Sarcomatous Nodule in theVagina. Secondary to sarcoma of the uterus andright ovary. Op. Feb. 5, 1896. % naturalsize. SAKCOMA OF THE UTERUS. 335 with secondary involvement of tlie uterus. See Johns Hojjk. Hosp. Bui., Dec189-t. A second most instructive case occurred in 1896. As seen from an exami-nation of Fig. 476, a lobulated and smooth mass projected from the cervicalcanal, and Fig. i7S shows that the utei-me cavitj was also tilled with large andsmall lobules of a new growth. Eeference to Fig. 477 shows that the growth


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal