Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . e inter-vention of degenerative and malignant changes in thegrowth. Generally speaking, the more intimate the relation-ship between a myoma and the uterine cavity, the morepronounced is the haemorrhage, so that submucous (stalkedand sessile) growths are most prone to set up bleeding ;interstitial growths do so to a less degree, whilst subserousand intraligamentary tumours, not influencing the cavity atall, may cause no bleeding whatever. John Bland-Sutton lays particular stress upon
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . e inter-vention of degenerative and malignant changes in thegrowth. Generally speaking, the more intimate the relation-ship between a myoma and the uterine cavity, the morepronounced is the haemorrhage, so that submucous (stalkedand sessile) growths are most prone to set up bleeding ;interstitial growths do so to a less degree, whilst subserousand intraligamentary tumours, not influencing the cavity atall, may cause no bleeding whatever. John Bland-Sutton lays particular stress upon the partplayed by the changes in the endometrium, the chiefdisturbing agents being pathogenic organisms. Thismeans that we ought to find histological evidence of a trueendometritis in addition to simple oedema and overgrowthof the mucous membrane. I am able to give support tothis view in so far as the finding of plasma-cells in a fewcases is concerned ; but I cannot lay claim to havemade a routine examination for plasma-cells in the caseof every bleeding myoma that I have removed. With- Plate XXXV Fig. 142. Figure 142. Showing inflammation of the Endometrium in a case of myoma presence of such a large number of phisma-cells is the only reliable proof ofEndometritis. (Section stained by C. J. Marshall.) Fig. 143 ./ ^ vii!^^;. .-•?-- /???••v\ \ •? l?•-v•
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
