. Cyclopædia of obstetrics and gynecology. as soon as necrotic disintegrationhas set in. Moreover, they are undoubtedly met with in combination, or,to speak more correctly, one may become converted into the other. Thusafter removal of an epithelioma in the portio vaginalis, one not infre-quently finds f resli cancerous nodules developing higher up in the uterus, > Etude clinique sur le Cancer du corps, etc , de Tutenis, Paris, 1876. * Einiges Pathologisch-Anatomiclies iiber den Gebarmutterkrebs, Berlin, Maladies de ruterus, p. 1013. * Scanzoni, Beitrage, IV., p. 30. * Beitrage, etc.,
. Cyclopædia of obstetrics and gynecology. as soon as necrotic disintegrationhas set in. Moreover, they are undoubtedly met with in combination, or,to speak more correctly, one may become converted into the other. Thusafter removal of an epithelioma in the portio vaginalis, one not infre-quently finds f resli cancerous nodules developing higher up in the uterus, > Etude clinique sur le Cancer du corps, etc , de Tutenis, Paris, 1876. * Einiges Pathologisch-Anatomiclies iiber den Gebarmutterkrebs, Berlin, Maladies de ruterus, p. 1013. * Scanzoni, Beitrage, IV., p. 30. * Beitrage, etc., der Berliner geburtshiilfl. Gesellschaft, III., p. 120. 364 NEW GROWTHS OF THE UTERUS. although there is no recurrence of the epithelioma in loco. For thesereasons it is also exceedingly difficult to determine, with any degree ofaccuracy, the frequency with which epithelioma and carcinoma of theportio vaginalis occur. In this connection I will mention only the resultswhich I have tabulated in a previously published article/ according to. Fig. 43.—Epithelioma involving the Mucous Membrane op the Cervix Uteri. (From theCollection of the Pathological Institute at Strasburg.) which, among 203 cases in which an anatomical diagnosis was possible,there were but 1? in which carcinoma alone, without ])apillary excres-cences, was observed. Even when we adopt the newer classification, as given above, the samedifficulties present themselves. Tlius Ilofmeier has collected 812 cases ^ Volkmanns Klinische Vortrage, No. 18. - Zur Statistik des Gebarmvitterkrebses und seine operative Behandlung,Zeitschr. f. Geb. u. Gynakol., vol. X., 1884. AND CARCINOMA, 365 of cancer of tlic uterus observed at Schroders clinic. Of this number236 cases involved the portio vaginalis, 181 the cervix, and 28 the bodyof the uterus. 3G7 cases could not be classified.
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