Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fig. 181 -Showing salpingitis isthmica nodosa. (After Otto v. Franque, Gj7/. Bd. xlii., 1900, Taf. iii., Fig. 3, page 38.) Adenomyositis tiibae, or, as Rabinovitz terms it, Adenomyo-salpingitis. Rabinovitz could find no evidence of embry-onic rests in ten cases he examined. His work entirelyconfirmed the inflammatory nature of these nodes. (B) Adenomyoma of the Round Ligament—In 1883Sanger collected twelve cases ^ of tumours of the roundligament. Many of these we
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fig. 181 -Showing salpingitis isthmica nodosa. (After Otto v. Franque, Gj7/. Bd. xlii., 1900, Taf. iii., Fig. 3, page 38.) Adenomyositis tiibae, or, as Rabinovitz terms it, Adenomyo-salpingitis. Rabinovitz could find no evidence of embry-onic rests in ten cases he examined. His work entirelyconfirmed the inflammatory nature of these nodes. (B) Adenomyoma of the Round Ligament—In 1883Sanger collected twelve cases ^ of tumours of the roundligament. Many of these were cystic, and were regardedclinically as hydrocele muliebris^ but on critical examination Archil fur Gy?iak. Bd. xxi. S. 279. 3IO EXTRAUTERINE ADENOMYOMA chap. they were found to belong to the class of embryonic swell-ings (Emanuel). Tumours occur in three sections of the ligament, (i) between the uterine cornu and internal abdominalring (intraperitoneal) ; (2) in the canal of Nuck (intra- ?v,;:,r ,>><^e^ .-vv-r-;-;^v,;y ,--^.,,;,... ,,,, ^.i i^y. X60 Fig. 182.—Section of Fallopian tube from a case of adenomyoma of both tubes. Onthe right side there was a hydrosalpinx. (After von Recklinghausen, who consideredthis to be an organoid growth formed around BT which he describes as the tube.)52= tube with narrow lumen and thick mucosa ; C=cyst lined with ciliated epithelium. canalicular) ; (3) extraperitoneal, in the region of the monsVeneris. To these, Sanger added a fourth class : (4) thosegrowths in the adjacent abdominal wall more remote fromthe canal of Nuck. Sanger had seen no example of theintracanalicular variety. Some confusion has arisen between true growths of n ADENOMYOMA OF ROUND LIGAMENT 311
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