The diseases of women : a handbook for students and practitioners . opic characters of a uterine sarcoma containing muscle-cells (Pernice). Epithelioma.—This disease only attacks that portionof the uterine cervix which is covered by an extension ofthe vaginal mucous membrane. It may begin as an ulceror as a raised warty mass. It quickly destroys the cervixand involves the vaginal mucous membrane. Treatment.—When the patient comes under observationearly—that is, while the epithelioma is restricted to the cer-vix—amputation of the cervix gives good results. It is im-portant to bear in mind that
The diseases of women : a handbook for students and practitioners . opic characters of a uterine sarcoma containing muscle-cells (Pernice). Epithelioma.—This disease only attacks that portionof the uterine cervix which is covered by an extension ofthe vaginal mucous membrane. It may begin as an ulceror as a raised warty mass. It quickly destroys the cervixand involves the vaginal mucous membrane. Treatment.—When the patient comes under observationearly—that is, while the epithelioma is restricted to the cer-vix—amputation of the cervix gives good results. It is im-portant to bear in mind that operations for epithelioma inthis situation are very limited by the close proximity of the DISEASES OF THE UTERUS. 207 bladder to the anterior surface of the cervix. Recurrenceusually takes place at the cut edge of the vaginal mucousmembrane. Amputation of the cervix uteri for epithelioma is attendedwith a very small risk to life. Adenoma.—This genus of tumors occurs in the endo-metrium of the body of the uterus and its cervical canal Infiltrated Uterine cavity, Wall of bladder. Cancer, Cervical canal. VaginaFig. 70.—Uterus in sagittal section with carcinoma of the cervix. (seep. 174). The condition sometimes described as ma-lignant adenoma of the body of the uterus is carci-noma. Carcinoma.—It will be necessary to consider this dis-ease in two sections: 208 DISEASES OE WOMEN. 1. Cancer originating in the mucous membrane of the cer- vical canal of the uterus; 2. Cancer arising in the mucous membrane lining the uter- ine Cancer of the Cervical Canal.—This disease isunfortunately very common, and may begin in any part ofthe mucous membrane lining the canal (Fig. 70). Carefulobservations show conclusively that the disease starts in themucous glands, and the histologic feature of the cancerousmass is a caricature of these glands (Fig. 71). In its early
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