The diseases of women : a handbook for students and practitioners . surfaceis generally tumid with this overgrown glandular this glandular overgrowth projects as apedunculated process from the mouth of the uterus, and isthen termed a mucous polypus; two or more may bepresent. They are dotted with minute pores indicating theorifices of the glands, and are soft. They usually springfrom the endometrium near the os, which is generallypatulous when these pedunculated adenomatous bodies are 176 DISEASES OF WOMEN. present. Histologically, they are composed of an axis offibrous and
The diseases of women : a handbook for students and practitioners . surfaceis generally tumid with this overgrown glandular this glandular overgrowth projects as apedunculated process from the mouth of the uterus, and isthen termed a mucous polypus; two or more may bepresent. They are dotted with minute pores indicating theorifices of the glands, and are soft. They usually springfrom the endometrium near the os, which is generallypatulous when these pedunculated adenomatous bodies are 176 DISEASES OF WOMEN. present. Histologically, they are composed of an axis offibrous and muscular tissue covered with mucous mem-brane. As long as the bodies remain in the cervical canalthe mucous membrane covering them possesses a singlelayer of columnar epithelium, but when the polypus pro-jects into the vagina the mucous membrane of the pro-truding portion loses its glands, or they become merecrypts, and the epithelium stratifies. In some instances the pink tissue is small in quantity andis dotted with numerous cystic bodies of the size of cori-. Fig. 58.—Microscopic characters of adenomatous disease of the cervix (A. E. G.)- ander seeds; these are enlarged ovules of Naboth, and areprobably due to distention of the acini of the cervicalglands. When the adenomatous surface is extensive andthe follicles are numerous, the white dots on a pink groundproduce a characteristic appearance. In very rare cases a group of follicles will hang as agrape-like mass in the vagina. These may be called race-mose adenomata. DISEASES OF THE UTERUS. IJJ Causes.—Nothing is known concerning the cause of thisaffection. It occurs in virgins and in mothers; extensiveadenomatous patches are often associated with lacerationsof the cervix, and the disease is more common in womenwho have had children than in nulliparae. Symptoms.—Adenomatous disease of the cervix givesrise to vaginal discharge, indefinite pain, and general weak-ness. The discharge is commonly known as the whites;techn
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