. Operative gynecology. cervix into the vagina, while the subserous narrow their attach-ments down to a thin pedicle and often derive their nutriment from adhesionsto other organs. KINDS AND SITES OF MYOMATA. 343 Fibro-cystic tumors are characterized by an excess of fluid elements,rendering them soft or even fluctuant. This fluid, analogous to serum, is heldin enormously dilated lymph channels within the tumor. It coagulates spon-taneously on exposure to the air, a clinical feature recognized by the olderwriters, and considered by them pathognomonic of this variety. This fact, how-ever, is unr
. Operative gynecology. cervix into the vagina, while the subserous narrow their attach-ments down to a thin pedicle and often derive their nutriment from adhesionsto other organs. KINDS AND SITES OF MYOMATA. 343 Fibro-cystic tumors are characterized by an excess of fluid elements,rendering them soft or even fluctuant. This fluid, analogous to serum, is heldin enormously dilated lymph channels within the tumor. It coagulates spon-taneously on exposure to the air, a clinical feature recognized by the olderwriters, and considered by them pathognomonic of this variety. This fact, how-ever, is unrehable, because the fluid of a tubercular peritonitis or of a cysticGraafian follicle may also coagulate on exj^osure. If not extirpated early thesetumors often attain an enormous size, larger than any other abdominal growth-In one case reported the mass reached the enormous weight of 195 the outer covering of the tumor, or of each of the individual compo-nent masses, is formed of dense myomatous Fig. 481.—Myomatous Uterus, showing Interstitial and Subperitoneal Masses. The subperitoneal tumor is lialf concealed behind the opened cervix. Kote the large uterine cavity with asmooth surface presentint^ a number of translucent vesicles in the lower portion, and on the lower border ofthe mucous polyp lying within the uterine cavity. Note also the large vessels laid open opposite the inter-nal OS uteri. Iath. No. 323. /? natural size. The life history of a myomatous tumor is well illustrated by acase which was followed for twenty-seven years, from the time it was first ob-served to the operation which I performed in May, 1894. The patient (J. S. S., San. 107), the daughter of a j^rominent physician, dis-covered an abdominal tumor in 1867 when in her twenty-seventh year. Twoyears later she was examined by Dr. Washington L. Atlee, who left the follow-ing notes and drawing of the relations of the tumor to the uterus, for which Iam indebted to his son-in-law. Dr
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
