. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. h have been already par-ticularly described (see Chronic Inflammation of the Uterus).Hypertrophy, the result of chronic inflammation and defective in-volution, one or both, is most palpably evident in the cervicalregion, as this can be easily reached and inspected, but it is rarelylimited to this portion. Hypertrophy of the uterus is especially liable to occur in associ-ation with growth of fibroid tumors within the walls of the organ. 31 482 PATHOLOGY AND TREATMENT. A fibroid tumor of the uteru
. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. h have been already par-ticularly described (see Chronic Inflammation of the Uterus).Hypertrophy, the result of chronic inflammation and defective in-volution, one or both, is most palpably evident in the cervicalregion, as this can be easily reached and inspected, but it is rarelylimited to this portion. Hypertrophy of the uterus is especially liable to occur in associ-ation with growth of fibroid tumors within the walls of the organ. 31 482 PATHOLOGY AND TREATMENT. A fibroid tumor of the uterus, growing in the middle of the thick-ness of the wall, not unfrequently produces great hypertrophy ofthe uterus, for the uterus may expand and grow not merely aroundthe tumor, but in every other part also. Thfe bulk of the uterusmay, under such circumstances, equal that of a childs head, butthe greater part of the bulk would then be made up of the cases of fibrous polypus of the uterus, the organ grows some-times to a very large size, but in such cases the uterine walls have Fig. 61.*. less thickness. Hypertrophy of the uterus to a slighter degreeis witnessed when fibroid tumors grow from its outer , it is not rare to meet with enormous fibroid tumors grow-ing from the external surface of a uterus, itself even smaller thanusual. Partial hypertrophy of the vaginal portion is sometimes ob-served. Hypertrophy with elongation.—The uterus not unfrequentlyundergoes, in consequence of pressure, or in consequence of trac-tion in a particular direction, an elongation to which the termhypertrophy has not very correctly been applied (see Fig. 61).This elongation more particularly affects the cervical portion of * Fig. 61 (from Farre) represents longitudinal hypertrophy of the cervix,of a marked character. HYPERTROPHY OF THE UTERUS. 483 Fig. 62.* the organ, not simply that part which projects into the vagina, butthe cervix properly so called. Hyper-trophic elongati
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