Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . urring in early life. Case 6.—Mrs. W., age thirty-six, weight 200 pounds, born in Roumania, married8 years, and has had no pregnancy by present wedlock. She claims never to havebeen pregnant, but marked laceration of the cervix uteri and of the pelvic floor sug-gests an early pregnancy, doubtless out of wedlock. The history is negative forfevers or illness. The chief complaint is a profuse vaginal discharge. She wastreated locally for several weeks for the leucorrhea, which resis
Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . urring in early life. Case 6.—Mrs. W., age thirty-six, weight 200 pounds, born in Roumania, married8 years, and has had no pregnancy by present wedlock. She claims never to havebeen pregnant, but marked laceration of the cervix uteri and of the pelvic floor sug-gests an early pregnancy, doubtless out of wedlock. The history is negative forfevers or illness. The chief complaint is a profuse vaginal discharge. She wastreated locally for several weeks for the leucorrhea, which resisted all efforts to re-lieve it. The tumor of the right labium minora was noted and diagnosed a cyst ofthe bartholin gland and naturally considered of neisserian origin as also was thecervicitis and endometritis. The patient was curetted and the tumor of the labiumremoved. Pathology.—Microscopic findings revealed a cystic hypertrophic endometritis anda leiomyoma of the labium. The tumor doubtless originated from the unstripedmuscle fibers of the duct of bartholin. Microscopically one notes bundles of muscle. Fig. 5.—Photomicrograph from a section of a leiomyoma of the labium, Case 6. cells running in different directions. The cells cut longitudinally show cylindricalnuclei as the most conspicuous feature. Proper staining may show a substance knownas collagen and myoglia fibrils, the latter appearing as coarse lines along the sidesof the cell (Fig. 5). Proper and Simpson, of the pathological laboratory of the New YorkState Institute for the Study of Malignant Diseases, reports that malig-nant leiomyomata are not uncommon and may be defined as malignantneoplasms arising from mesoblastic cells of the smooth muscle type. Itis conceivable that these tumors may originate from either adult, smoothmuscle cells or from benign tumor cells as found in leiomyomata. Thelatter origin must be considered as the common one on account of thefrequency with which a history of degenerating fib
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