Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fk;. 244.—Right half of N. S. Iwanoffs uterine tumour.(From Geb. und Gyn. Bd. vii. Fig. i, Taf. iv., 189S.) .^ = glan(lular area, and AT^cyst in same; 5 = myoma of anterior wall of uterus; C = uterinetrowth ; D = carcinomatous part of C ; f^uterus; f= cavum uteri ; G=vagina; // = ovary. I have been able to find only two cases of sarcomaassociated with adenomyoma—those of Iwanoff and Bauer-eisen. Griinbaum mentions a third, that described byKaufmann in his Lehrbuch der
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fk;. 244.—Right half of N. S. Iwanoffs uterine tumour.(From Geb. und Gyn. Bd. vii. Fig. i, Taf. iv., 189S.) .^ = glan(lular area, and AT^cyst in same; 5 = myoma of anterior wall of uterus; C = uterinetrowth ; D = carcinomatous part of C ; f^uterus; f= cavum uteri ; G=vagina; // = ovary. I have been able to find only two cases of sarcomaassociated with adenomyoma—those of Iwanoff and Bauer-eisen. Griinbaum mentions a third, that described byKaufmann in his Lehrbuch der path. Anatomie. This bookI have been unable to obtain. Iwanoffs case (see Figs. 244, 245, 246) was that of a ADENOMYOMA AND MALIGNANCY 429 woman aged 38 years. The uterus was enlarged and retro-flexed. There was a cauliflower-growth in the posteriorfornix. This was removed in May 1891 and again in1892. Several months later the vagina was filled with new growth and this was again. connective tissue. -r^^J^O^.. Fig. —Microscopic characters ofN. S. Iwanoffs uterine tumour {). a = cubical epithelium of cyst-wall ; b =inner lining of fibrin and leucocytes ; c= nieni-brana propria; d= connective tissue infiltratedwith leucocytes; f = smooth muscle; f=glandular hollow space; |;- = sarcoma. There was difficulty with micturi-tion and defaecation ; the patientsuff^ered severe pain and eventuallydied. The growth in the vaginawas an adenocarcinoma. In theposterior wall of the uterus wasa tumour, the upper part ot which was a lower part of this growth, which ran to the vaginalvault, contained gland-spaces lined by epithelial cells whichalso ran in the intercellular substance, singly or in groups ;such an arrangement bespoke an adenocarcinoma. At theupper, sarcomatous part of the growth, was a cyst andtypical gland-tissue, so that the component parts were. 430 • ADENOMYOMA chap. fibrous tissue, smooth muscle, gland-tissue, cysts withcylindrical o
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