Gynaecology for students and practitioners . ngly are different ; instead ofexcessive menstruation there is blood-stained vaginal discharge, which maybe continuous and which, coming onin the climacteric period or later, sug-gests the presence of cancer of thebody of the uterus. The term villoustumour of the body of the uterus wasgiven to this growth by Bland Sut-ton, because it resembles a villouspapilloma of the bladder, exceptingthat the investing epithelium is ofcolumnar type in the uterine growth{see Fig. 250) and transitional in thatarising from the mucous membraneof the bladder. The subj
Gynaecology for students and practitioners . ngly are different ; instead ofexcessive menstruation there is blood-stained vaginal discharge, which maybe continuous and which, coming onin the climacteric period or later, sug-gests the presence of cancer of thebody of the uterus. The term villoustumour of the body of the uterus wasgiven to this growth by Bland Sut-ton, because it resembles a villouspapilloma of the bladder, exceptingthat the investing epithelium is ofcolumnar type in the uterine growth{see Fig. 250) and transitional in thatarising from the mucous membraneof the bladder. The subjects in whom papilliferous adenoma is foundare generally nulliparous. The growth may arise from one wall of theuterus or it may be diffused over the endometrium {see Fig. 249).It may be the only pathological condition present or it may be as-sociated with a fibroid tumour. Papilliferous adenoma and cancerare not found together, but portions of the former may infiltrate theuterine wall, whilst other parts of the same growth are still Fig. 249. Papilliferous Adenoma ofTHE Endometrium. From a specimenin the Royal College of Surgeons (BlandSutton). The entire uterine cavity isfilled with an adenomatous growthcomposed of villous tufts closely packedtogether. For the microscopical featuresof this type of growth see Fig. 250. BENIGN EPITHELIAL GROWTHS OF THE UTERUS 499 Diagnosis. Papuliferous adenoma of the uterus in elderly subjectshas to be differentiated from adeno-carcinoma [see p. 533). The symp-toms and clinical features are similar in each case, therefore the natureof the new growth can only be determined by histological investigationof the scrapings removed by curettage. In some cases this may proveeasy, and no doubt will arise as to the simple nature of the case, the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
