. Operative gynecology. Fig. 476. — Sarcomatous Nodule in theVagina. Secondary to sarcoma of the uterus andright ovary. Op. Feb. 5, 1896. % naturalsize. SAKCOMA OF THE UTERUS. 335 with secondary involvement of tlie uterus. See Johns Hojjk. Hosp. Bui., Dec189-t. A second most instructive case occurred in 1896. As seen from an exami-nation of Fig. 476, a lobulated and smooth mass projected from the cervicalcanal, and Fig. i7S shows that the utei-me cavitj was also tilled with large andsmall lobules of a new growth. Eeference to Fig. 477 shows that the growth. Fio. 477.—Sakcoma of the Uterus (U)
. Operative gynecology. Fig. 476. — Sarcomatous Nodule in theVagina. Secondary to sarcoma of the uterus andright ovary. Op. Feb. 5, 1896. % naturalsize. SAKCOMA OF THE UTERUS. 335 with secondary involvement of tlie uterus. See Johns Hojjk. Hosp. Bui., Dec189-t. A second most instructive case occurred in 1896. As seen from an exami-nation of Fig. 476, a lobulated and smooth mass projected from the cervicalcanal, and Fig. i7S shows that the utei-me cavitj was also tilled with large andsmall lobules of a new growth. Eeference to Fig. 477 shows that the growth. Fio. 477.—Sakcoma of the Uterus (U) and Right left ovary (Ov) and tube ( T) are intact. The right ovary is eouverted into a mass of large nodules,chokins the pelvis, covered by adhesions, and attached to the omentum, part of which is loft on it. Feb. 5,1896. No. i^ natural size. commenced outside of tlie uterus, and that this organ was secondarily microscopical examination demonstrated that the growth was a spindle-celled sarcoma, originating in the ovary. The disease extends by contiguity of tissue, by the veins, and by the lym-phatics ; the extension is often found in the direction of the vagina, which thencontains a number of bluish or reddish nodules of various sizes. 336 ABDOMINAL HYSTERECTOMY FOK CARCINOMA OF THE CERVIX. The tendency is to break down late and to discharge blood and watery fluidwith the cell debris. The diagnosis is made from a microscopic examination of scrapmgs or ofa piece cut out of the tumor. The patient complains of discomfor
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
