. Tumours, innocent and malignant; their clinical characters and appropriate treatment. otation occurred. Theantero-posterior length of the distorted organ was 20 cm. Only a portion of thelarge tumour is shown in the figure. and to the child. Two facts may be stated with a fairamount of accuracy thus: 1. When the uterus of a parous woman begins to grow afibroid, she usually ceases to conceive. 2. When a woman whose uterus contains a fibroid con-ceives, this event is usually preceded by a long period ofunfruitful wedlock. A large subserous fibroid does not in-fluence conception, but is occasion
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. otation occurred. Theantero-posterior length of the distorted organ was 20 cm. Only a portion of thelarge tumour is shown in the figure. and to the child. Two facts may be stated with a fairamount of accuracy thus: 1. When the uterus of a parous woman begins to grow afibroid, she usually ceases to conceive. 2. When a woman whose uterus contains a fibroid con-ceives, this event is usually preceded by a long period ofunfruitful wedlock. A large subserous fibroid does not in-fluence conception, but is occasionally a serious complicationof pregnancy as well as of delivery and puerpery. 198 CONNECTIVE-TISSUE TUMOURS A large fibroid in the neck of the uterus hindersbut does not prevent conception; it is, however, a seri-ous obstacle to successful delivery, and it is admittedby all practitioners who have had experience in mid-wifery that the most serious obstruction which arisesin connexion with uterine fibroids is caused by a largetumour in the neck of the uterus. In such a case I performed. Fig. 108.—Uterus in sagittal section; its neck is occupied by a large intracervicalfibroid. There is also a submucous fibroid. (From a barren woman aged 41,who had been married many years.) total hysterectomy with success after labour had begun(Fig. 110). Rutherford Morison has had a similar experience. Inimicality of pregnancy and uterine fibroids.—Thebanefiilness or harmfulness of the association of pregnancy isof three kinds: 1. Obstructive.—The harm which may arise from theobstruction offered by a fibroid to a gravid uterus sometimesoccurs early in the pregnancy because it may lead to impac-tion and even slow torsion of the uterus. If the fibroid bepedunculated the upward movement of the uterus may FIBROIDS AND PBEGNANCY ]99 cause it to rotate and twist the pedicle; occasionally it willbe incarcerated by the uterus. 2. Septic infection.—-An interstitial or a submucous fibroidmay be infe
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
