. Tumours, innocent and malignant; their clinical characters and appropriate treatment. at of these uterioften resemble stalked subserous fibroids; they are really buds of adeno-myomatous tissue. When the uterus is removed and divided longitudinally,the walls are seen to be greatly thickened, measuring in somespecimens 5 cm. (2 in.) in thickness ; this increase is dueto the formation of new tissue between the outer wall of theuterus (the subserous stratum) and the superficial layer ofthe endometrium. There is no attempt at encapsulation,and the term diffuse is thoroughly justified. (Fig. 178.)
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. at of these uterioften resemble stalked subserous fibroids; they are really buds of adeno-myomatous tissue. When the uterus is removed and divided longitudinally,the walls are seen to be greatly thickened, measuring in somespecimens 5 cm. (2 in.) in thickness ; this increase is dueto the formation of new tissue between the outer wall of theuterus (the subserous stratum) and the superficial layer ofthe endometrium. There is no attempt at encapsulation,and the term diffuse is thoroughly justified. (Fig. 178.) ADENO-MYOMA OF TEE UTERUS 377 The cut surface of the adventitious tissue differs from thatpresented by the common hard fibroid in another particular,for, instead of forming the well-known vortex arrangement,the muscular tissue is disposed in an irregular manner, andon the freshly cut surface it produces a pattern not unlikethat of the fabric known as watered silk. The new tissue consists mainly of bundles of plain muscle-fibre, which, instead of being arranged in vortices, as is so. Fig. 180.—Uterus in section showing diffuse adeno-myomatous disease. The poly-poid process contains glandular elements. From a spinster aged 43 years. common in the ordinary hard fibroid, are disposed in anirregular manner, and the spaces between the bundles arefilled with the peculiar stroma of the uterine mucosa,containing gland-tubules lined with columnar epithelium ofthe same type as the normal tubular glands of the endo-metrium. The glandular elements appear to be uniformlydistributed throughout the adventitious tissue, and can bedetected up to the limits of the thin muscular stratumunderlying the peritoneal coat of the uterus. The amountof glandular tissue varies greatly in different cases. (Fig. 180.) 378 EPITHELIAL TUMOURS An interesting featnre of the disease is the frequencywith which uteri, the seat of this change, afford evidence ofantecedent inflammation. The Fallopian tubes are freq
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
