Gynecological diagnosis and pathology . Fig. 117.—Uterine Fibkoid with Cystic Degeneration. The tumour is a large interstitial one growing from the posterior wall. In its lowerpart are many spaces filled with clear Huid. * Si » « , ^ \ $ s Fie 118.—Uterine Fibroid—Cystic Degeneration. The cystic character is due partly to a mucoid degeneration and partly to lymphaticdilatation. The dilated lymph spaces with endothelial lining are distinctly seen. 120 GYNECOLOGICAL PATHOLOGY of the lymph channels. The cystic spaces vary in size. When large,they give the tumour a fluctuating character when felt
Gynecological diagnosis and pathology . Fig. 117.—Uterine Fibkoid with Cystic Degeneration. The tumour is a large interstitial one growing from the posterior wall. In its lowerpart are many spaces filled with clear Huid. * Si » « , ^ \ $ s Fie 118.—Uterine Fibroid—Cystic Degeneration. The cystic character is due partly to a mucoid degeneration and partly to lymphaticdilatation. The dilated lymph spaces with endothelial lining are distinctly seen. 120 GYNECOLOGICAL PATHOLOGY of the lymph channels. The cystic spaces vary in size. When large,they give the tumour a fluctuating character when felt through theabdomen. The formation of these cystic spaces leads to a rapid increasein the size of the growth. When the spaces are formed by dilatation ofthe lymphatics, microscopic examination shows that the lining of thecysts is an endothelium (rig. 118). Sometimes the spaces are filled with blood, and are dilated this the term telangiectatic fibroid has been applied (fig. 119). We. Fig. 119.—Telangiectatic the large spaces filled with blood in the substance of the tumour. have seen a large blood cyst develop due to hemorrhage into a fibroidfrom the development of perithelioma. Necrobiosis, or Red Degeneration.—This is probably the commonestdegenerative change met with in fibroid tumours. It is at the same timethe one which gives rise to the most characteristic symptoms and physicalsigns. It occurs most frequently during pregnancy, in the puerperium,or about the time of the menopause. Lorrain Smith and Shaw ascribethe change to thrombosis causing retardation of the circulation, whichleads to a production of fat; and the accumulated lipoids have ahemolytic action and favour the staining of the tumour with haemo-globin. The appearance produced is characteristic. The tumour, insteadof presenting the pearly-white colour of the ordinary fibroid, acquires Plate IV
Size: 1300px × 1922px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
