Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . wall of the neck of the uterus, forms a uniform egg-shapedtumour. CERVICAL MYOMA 20( (2) Its seat of election is the posterior cervical wall. (3) It causes a widening and elongation of the cervix, sothat the cervical canal may come to measure as much as5 or 6 inches in Fig. 154.—Showing a true cervical myoma, with the uterus opened from the front. (4) Starting as an interstitial growth, it becomes sub-mucous, and tends to open up the external os to a variabledegree. (5) The
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . wall of the neck of the uterus, forms a uniform egg-shapedtumour. CERVICAL MYOMA 20( (2) Its seat of election is the posterior cervical wall. (3) It causes a widening and elongation of the cervix, sothat the cervical canal may come to measure as much as5 or 6 inches in Fig. 154.—Showing a true cervical myoma, with the uterus opened from the front. (4) Starting as an interstitial growth, it becomes sub-mucous, and tends to open up the external os to a variabledegree. (5) The cervical canal is not only elongated but laterallyexpanded. See Figures 153 and 154. 2IO DIAGNOSIS OF UTERINE MYOMA chap. (6) The external os is altered in shape, forming a crescentor half-moon, or it will become opened up completely bythe lower submucous pole of the growth (Figs. 191 and 155). (7) The axis of the uterus is frequently altered, so thatthe OS is often felt tucked away, high up under the symphysisor in one or other fornix. (8) The fundus is felt well up in the abdomen, perchedon the top of a globular mass, like an adrenal on a kidney ;very often it can be moved upon the fixed pelvic tumour,and the unsuspecting may regard it as a subserous myoma,but in point of fact this relation forms a striking diagnosticfeature of a large cervical myoma (Figs. 29 and 30). In exc
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
