Aseptic surgical technique, with especial reference to gynæcological operations . Adenocarcinoma of the uterine body. (After Orth.) branching of the glands, and certain alterations in the6troma. It has been shown that any one or several ofthese conditions may occur in endometritis or asso-ciated with benign neoplasms, such as a simple poly-pus or a myoma. Again, the occurrence of glandtubules within the muscle is not pathognomonic ofmalignancy, for they have not rarely been found topenetrate thus far in myomatous disease or even undernormal conditions. It may be accepted as a fairly saferule f
Aseptic surgical technique, with especial reference to gynæcological operations . Adenocarcinoma of the uterine body. (After Orth.) branching of the glands, and certain alterations in the6troma. It has been shown that any one or several ofthese conditions may occur in endometritis or asso-ciated with benign neoplasms, such as a simple poly-pus or a myoma. Again, the occurrence of glandtubules within the muscle is not pathognomonic ofmalignancy, for they have not rarely been found topenetrate thus far in myomatous disease or even undernormal conditions. It may be accepted as a fairly saferule for guidance that, except in those cases in which 248 ASEPTIC SURGICAL TECHNIQUE. definite cancer nests can be seen in the stroma be-tween the glands, it is not justifiable to diagnose posi-tively carcinoma of the uterus from these microscopicsections alone, unless the new growth can be seen in-vading the muscle and causing it to disappear before it.(Fig. 43.) But while a positive diagnosis can rarely be Fig. Epithelioma of the cervix. (After Orth.) made, the existence of many suspicious changes in themucous membrane will often warrant the conclusionson the part of the pathologist which when controlled bythe study of the symptoms which the patient presentswill enable the operator to decide what to do. On the EXAMINATION OF SPECIMENS. 249 other hand, in cases which from a clinical stand-pointstrongly suggest malignancy, but in which the tissuesobtained by curetting yield no suspicious pieces what-ever, needless operations may oftentimes be from the cervix are often particularly puz-zling, and all the different possibilities—erosions, con-genital anomalies, benign hyperplastic growths, vari-ous forms of inflammation, as well as neoplasms—haveconstantly to be borne in mind. (Fig. 44.) Cullenswork, entitled Cancer of the Uterus, deals admirablywith the whole question, and will be found invaluableas a book of reference for the working gynecologist. Examin
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