. The diagnosis and treatment of diseases of women. Pig. Adeno-carcinoma of the Corpus Uteri, in an advanced stage. (Cullen—Cfwjcer of the Uterus.) CARCINOMA OF THE CORPUS UTERI 687 Chorio-epithelioma is a peculiar form of carcinoma arising from the fetal cellscovering the chronic villi. A striking feature is the early penetration of blood-vessels, with resulting metastases to distant organs. Symptoms, Diagnosis, Treatment. The symptoms and diagnosis are much the same as for carcinoma of the cervix,and are presented in detail on pages 668 to 672. In the early stage a positive. Fig. 625.
. The diagnosis and treatment of diseases of women. Pig. Adeno-carcinoma of the Corpus Uteri, in an advanced stage. (Cullen—Cfwjcer of the Uterus.) CARCINOMA OF THE CORPUS UTERI 687 Chorio-epithelioma is a peculiar form of carcinoma arising from the fetal cellscovering the chronic villi. A striking feature is the early penetration of blood-vessels, with resulting metastases to distant organs. Symptoms, Diagnosis, Treatment. The symptoms and diagnosis are much the same as for carcinoma of the cervix,and are presented in detail on pages 668 to 672. In the early stage a positive. Fig. 625. A Chorio-epithelioma of the Uterus. The uterus, which is about one-half largerthan normal, has been opened from the posterior surface and spread out. Projecting from theendometrial surface on the right side near the fundus, is a nodule which has been incised. It isthe size of a walnut and extends into the wall almost to the peritoneum. Sections from thisnodule show the characteristic structure of chorio-epithelioma. The fact that in chorio-epithe-lioma there is early erosion of the blood-vessels and early metatases to distant organs, should innowise discourage operation in this class of tumors, but should simply stimulate us to greaterendeavor to mak the diagnosis at the earliest possible moment. This growth was removed fiveyears ago and the patient is still well and with no evidence of recurrence. diagnosis can be made only by curetment and microsopic examination of thecurettings. As to treatment, nearly all the cases are operable, as the growth does not in-volve the parame
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