. Operative gynecology. ch the prac-titioner is in doubt, he musteither secure the advice of a competent gynecolo-gist or excise a wedge of the suspected area, put it in a five-per-cent solution of formalin, and send it to a reliable pathologist for investi-gation. In cancer of the body the only reliable method of mak-ing the diagnosis is by the microscopic examination ofportions of the endometrium removed by curettage. Treatment.—The treatment of carcinoma of the uterus is either radical orpalliative ; a radical plan of treatment is adopted in all cases in which the dis-ease is still clearly
. Operative gynecology. ch the prac-titioner is in doubt, he musteither secure the advice of a competent gynecolo-gist or excise a wedge of the suspected area, put it in a five-per-cent solution of formalin, and send it to a reliable pathologist for investi-gation. In cancer of the body the only reliable method of mak-ing the diagnosis is by the microscopic examination ofportions of the endometrium removed by curettage. Treatment.—The treatment of carcinoma of the uterus is either radical orpalliative ; a radical plan of treatment is adopted in all cases in which the dis-ease is still clearly limited to the uterus and its immediate surroundings, and in 316 ABDOMINAL HYSTERECTOMY FOR CARCINOMA OF THE UTERUS. which there is a reasonable hope that it may he completly extirpated. Palhativetreatment is adopted for those cases which are beyond radical relief. One of the most important objects to be attained in the immediate future isan efficient prophylaxis in avoiding the later inoperable stages of the Fig. 4t;0.—Opehation run ok the ureters are both catheterized in oraer to make them .stand out prominently during the t)ie right side the peritoneum has been removed and the bladder divided so as to show the relations otthe ureter to the uterine and pelvic vessels. A part of the pubic rami have also been removed, to expose thestructures better to view. We are not yet in a position to realize anything positive by any process ofhygiene or of medication ; there is, however, one suggestive fact in the his-tory of carcinoma, and that is its occurrence with such frequency in parouswomen. This points clearly to a direct relation between the trauma of child-birth and cancerous affections of the cervix, and suggests the need of some
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
