Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . nted by cross-lines. (After Max Schwab, Beitrage zur Geb. 11. Gyniik., 1908, Bd. xii. S. 105.) enucleated from the fundal part of the body of the uterus(see Fig. 242). One was an encapsuled myoma, the otherthree were not encapsuled, and proved to be the same incharacter as the recto-cervical growth. Fig. 243 shows thecurious structure of these nodules. The radial arrangementof the carcinomatous portion is the chief feature. Thesections were submitted to Robert Meyer, who seemsto hav
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . nted by cross-lines. (After Max Schwab, Beitrage zur Geb. 11. Gyniik., 1908, Bd. xii. S. 105.) enucleated from the fundal part of the body of the uterus(see Fig. 242). One was an encapsuled myoma, the otherthree were not encapsuled, and proved to be the same incharacter as the recto-cervical growth. Fig. 243 shows thecurious structure of these nodules. The radial arrangementof the carcinomatous portion is the chief feature. Thesections were submitted to Robert Meyer, who seemsto have cautiously withheld his opinion, but asked MaxSchwab to publish the case. Schwab could find only fourother examples of malignant adenomyoma in which thegrowth was covered by healthy uterine mucosa. Thesewere, one by Babes, Rollys case, and two cases of Dillman. 42( ADENOMYOMA CHAP. Roily and Dillman regarded their specimens as hivoured the view that in his case the growthswere mucosal (Miillerian). The case of Max Schwab, fromthe description he gives, seems to differ from the cases already. Fig. 243.—Adenomyoma of the recto-vaginal septum, showing microscopically what wasconsidered to be carcinomatous change. (See also Fig. 242. After Max Schwab,BeitrUge x,ur Geh. 11. Gyiiak., 1908, Bd. xii. Fig. 2, page 107.) recorded in the section dealing with the recto-genital none of the former examples was there a capsule witha soft growth inside. Babes (Budapest) reported two cases ^ to substantiatehis view that epithelial growths occurring deep in theuterus and independent of the mucosa, could form a site ^ Pest, Pressr, 1882, xviii. 24. VI ADENOMYOMA AND MALIGNANCY 427 for carcinoma. I cannot obtain the original paper, butfound a good abstract in the Zentralblatt^ No. 24, find that in the first case there was a metastasis in theUver, and the microscopical description of a large growthin the uterus mentions spaces filled with large and smal
Size: 1292px × 1934px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
