. Clinical gyncology, medical and surgical. ified, according to the relative position which they maintainto their surroundings, into three principal varieties: (1) subperitoneal orsubserous, (2) interstitial (or intra-parietal, or intra-muscular, or intra-mural), and (.>) submucous fibro-myomata. Very often the growths belongto the category of mixed tumors; that is, when the growth in question 554 BEXIGN NEOPLASMS OF THE UTERUS. belongs, on account of its anatomical relation, to two of the above subserous variety is formed when the tumor develops near or directlybeneath the pe
. Clinical gyncology, medical and surgical. ified, according to the relative position which they maintainto their surroundings, into three principal varieties: (1) subperitoneal orsubserous, (2) interstitial (or intra-parietal, or intra-muscular, or intra-mural), and (.>) submucous fibro-myomata. Very often the growths belongto the category of mixed tumors; that is, when the growth in question 554 BEXIGN NEOPLASMS OF THE UTERUS. belongs, on account of its anatomical relation, to two of the above subserous variety is formed when the tumor develops near or directlybeneath the peritoneal covering of the uterus; it then continues to growtowards the peritoneal cavity, because it there meets with the least subperitoneal tumors have been designated peritoneal polypi by Vir-chow, but it is best to reserve the name polypi for tumors found in the in-terior of the uterus. The pedicle varies in length and in thickness. If itis thick and is intimately connected with the parenchyma of the uterus, Fig. 5. S.)/i. Trilobed fibro-myoma arising from fundus uteri with a thin pedicle.—CAT, cystic part of tumor;:MP,subperitoneal solid portion; SM*, subperitoneal solid ribro-wyorua behind the uterus. (Schroeder.) the growth of the tumor is more rapid than that of tumors connectedwith a thin pedicle, which sometimes are composed only of the peritoneum(derived from the uterus), subserous connective tissue, and blood-vesselsof varying size. A short, thick pedicle at the fundus will draw the organupward, so that, according to the size of the tumor, it may be difficult forthe examining finger to reach the portio; the uterine cavity is often elongatedin these cases, but remains of normal length in long-pedicled tumors. It ispossible that the uterus may be so much drawn upward that the cervix BENIGN NEOPLASMS OF THE UTERUS. 555 becomes thinned out to a thin cord, and it may even happen that completeseparation occurs. If for some reason the tumor causes a rotatio
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