. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. on, cells and formations, whichequally indicate the presence of cancer. The difference in thephysical characters, evident to the touch and the unassisted eye,in the two varieties of the disease, appears to depend on the dif-ferent anatomical arrangement of the tissues affected in the twocases. So that a case of cauliflower excrescence is one in whichthe cancer attacks simply the surface of the cervix uteri; but acase of cancer of the medullary form is one in Avhich the diseaseattacks the tissues
. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. on, cells and formations, whichequally indicate the presence of cancer. The difference in thephysical characters, evident to the touch and the unassisted eye,in the two varieties of the disease, appears to depend on the dif-ferent anatomical arrangement of the tissues affected in the twocases. So that a case of cauliflower excrescence is one in whichthe cancer attacks simply the surface of the cervix uteri; but acase of cancer of the medullary form is one in Avhich the diseaseattacks the tissues of the cervix more deeply, extending simulta-neously or subsequently to the surface (see Fig. 95). The twodiseases frequently exist together ; it being a matter of commonobservation, that in patients with the cauliflower excrescence, al-though the disease may appear limited to the os for a time, themedullary form of the disease generally afterwards attacks theuterus, and thus causes death. In the cauliflower excrescence(see Fig. 96), the villi covering the cervix become hypertrophied, Fig. * the vessels with which they are supplied exceedingly enlarged, andforming loops; each villus is found to contain cells of every form;nuclear, formative, caudate, mother-cells, spindle-shaped or nu- 576 PATHOLOGY AND TREATMENT. cleated fibres, and binucleated cells, also cells in a state of fattydegeneration. A thick layer of epithelium covers the whole. Thecauliflower excrescence thus owes its shape, texture, &c., to theoriginal configuration and relations of the villi covering the cervixuteri. The microscopic appearances in the other class of cases itis unnecessary to allude to. When cancer attacks the surface aloyie, it appears that it maybe for a very considerable time restricted to that part, though thisis rare. The most common event is that the disease attackssimultaneously the superficial and the deep parts of the cervixuteri, with the result that there is cauliflower excrescenc
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Keywords: ., bookcentury1800, booksub, booksubjectgynecology, booksubjectwomen
