Pathology and treatment of diseases of women . emorrhages than by extreme pains. I performed Csesareansection in view of the apparent impossibility of advancing by way ofthe vaginal vault. The incised wound was sutured with catgut. Theincomplete technic at that time (1876) made me tie the threads witha simple knot. They loosened on the third day and the patient bled todeath. It certainly is one of our most difficult tasks to assist such a rule, however, they are thankful and are finally relieved to a certainextent by the described treatment. 300 DISEASES OF WOMEN IV. Malignant Chor
Pathology and treatment of diseases of women . emorrhages than by extreme pains. I performed Csesareansection in view of the apparent impossibility of advancing by way ofthe vaginal vault. The incised wound was sutured with catgut. Theincomplete technic at that time (1876) made me tie the threads witha simple knot. They loosened on the third day and the patient bled todeath. It certainly is one of our most difficult tasks to assist such a rule, however, they are thankful and are finally relieved to a certainextent by the described treatment. 300 DISEASES OF WOMEN IV. Malignant Chorion Epithelioma (Marchand) Synonyms: Deciduoma Malignum (Sanger), Syncytioma Malignum. Literature: Veit, Handbuch der Gynakologie, Vol. III. Wiesbaden, Bergmann,T899. Frommels Jahresber. iiber Geb. u. Gyn., 1899-1906. Malignant chorion epithelioma is a variety of tumor first characterizedin the ninth decade of the nineteenth century chiefly by Sanger. Thefurther study and the oncologic classification we owe chiefly to Marchandiand his Fig. 134.—Chorion Epithelioma Malignum. (Authors , Obj. A A, Oc. 2.) The chorion epithelioma is a tumor starting from the epithelium ofthe chorionic villi and accordingly always connected with a precedingnormal or pathologic pregnancy. The epithelium of the chorionic villi consists of two layers; the outerone is the syncytium and the inner is known as Langhans layer. Bothlayers proliferate in the chorion epithelioma, so that these tumors arecomposed partly of large columns of cells of Langhans devoid of distinctborders partly of large multiple nucleated masses of protoplasm withoutcell boundaries (syncytial part, see Fig. 134). The extent of participa-tion of both components in the tumor formation varies considerably ineach case, so that the tumor is composed now almost entirely of one, nowof the other cell variety with all possible transitional changes. The chorion epitheliomata are exceedingly malignant. They are TATH
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