Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . e other. I MUCOSAL INVASION & INFLAMMATIONS 2! In 1903 Thomas Cullen () published a reportin Berlin on nineteen cases of diffuse adenomyoma of theuterus, and pointed out that in the majority of these casesthe process was still limitedto the uterus ; he was thusable definitely to determinethe origin of the glands fromthe mucous membrane of theuterine cavity in most ofthe cases. At the present day (i914) BRibbert of Bonn takes ex-ception to the view that apre-existing inflammati
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . e other. I MUCOSAL INVASION & INFLAMMATIONS 2! In 1903 Thomas Cullen () published a reportin Berlin on nineteen cases of diffuse adenomyoma of theuterus, and pointed out that in the majority of these casesthe process was still limitedto the uterus ; he was thusable definitely to determinethe origin of the glands fromthe mucous membrane of theuterine cavity in most ofthe cases. At the present day (i914) BRibbert of Bonn takes ex-ception to the view that apre-existing inflammation isessential to mucosal figures in his workGeschwillste a uterus contain-ing five growths, three ofwhich were intramural my-omas and two were adeno-myomas (see Fig. 174). Thelatter, according to thisauthor, were discrete myomasinvaded by mucous mem-brane ; they showed no signwhatever of inflammation. There were, however, inaddition to the above, three submucous growths, one beinga long polypus. There is no doubt that many observerswould regard the polypi as having to do with Fic. 174.—Uterus showing two adenomyoma-tous growths. (After Ribbert, ) ^ — myomas; 5 = adenomyomas. There arethree polypi, but the entlometrium was said tobe devoid of inflammation. VI. Sporadic Efforts to revive the Embryonic orCongenital Theories In 1904 G. Schickele of Strassburg, in Die Lehre vonden mesonephrischen GeschwUlsten^ made a sharp attack upon 1 Zentr. f. allg. Path, ufid Jnat., 1904, Bd. xv. S. 261-302. U 290 ADENOMYOMA CHAP. the mucosal theory, and quite late in the day took a finalstand in defence of von Recklinghausens hypothesis. Inhis bibliography there are one hundred and eighteen refer-ences up to 1904. Many cases recorded as mucosal areregarded by Schickele as mesonephric. With regard to the tubal growths, this critic says that
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