. Tumours, innocent and malignant; their clinical characters and appropriate treatment. rminates in a variety of ways:— 1. The uterine artery may be opened by ulceration, andfatal hsemorrhage ensue. 2. Repeated bleeding due to smaller arteries being erodedwill often lead to exhaustion and death. 3. Implication of the bladder and one or both ureterscauses cystitis, septic pyelitis, and uraemia. Some observersfix the frequency of renal complications in this disease ashigh as 70 per cent. 4. Septic changes in the uterus extend to the an4 cf\,use pyosalpinx. CANCER OF THE UTERUS 3
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. rminates in a variety of ways:— 1. The uterine artery may be opened by ulceration, andfatal hsemorrhage ensue. 2. Repeated bleeding due to smaller arteries being erodedwill often lead to exhaustion and death. 3. Implication of the bladder and one or both ureterscauses cystitis, septic pyelitis, and uraemia. Some observersfix the frequency of renal complications in this disease ashigh as 70 per cent. 4. Septic changes in the uterus extend to the an4 cf\,use pyosalpinx. CANCER OF THE UTERUS 387 5. Peritonitis may be caused by rupture of a pus-containingFallopian tube. 6. Intestinal obstruction may follow adhesion of a pieceof small or large intestine to the uterus, or direct extension ofthe cancer into the rectum. 7. Hydroperitoneum and hydrothorax may arise from thepresence of secondary nodules of cancer on the peritoneum orpleura. 8. The cervical canal sometimes becomes occluded, and the Ovary infiltrated with cancer. Fallopian tube. Eound ligament. Occluded Cancer-mass. Vesical orificeof ureter. Fig. 188.—Cancer of the neck of the uterus implicating the bladder and the ureter. cavity of the uterus becomes distended with pus (pyometra).The chief danger in this complication is due to the Fallopiantubes becoming secondarily distended with pus, which occa-sionally leaks into the peritoneum, with lethal results. Cancer of the cervix is sometimes complicated with otherlesions of the genital organs, such as ovarian cysts andtumours, fibroids, etc. 388 EPITHELIAL TUMOURS Treatment.—The only treatment available for cancer ofthe neck of the uterus is early removal of the whole is only practicable in a small percentage of patients,because the disease arises and spreads so insidiously that thecancer, in the majority of cases, has overrun adjacent parts,such as the vagina, bladder, rectum, and vesical segments of theureter; this precludes operative
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
