. The diagnosis and treatment of diseases of women. cur in whichthe cells are broken down and become simply fluid and debris. Hemorrhageinto certain parts of the growth may occur and, as a result of that hemorrhage,there remain clots and discoloration and fluid. Infection may take place, leadingto suppuration or sloughing. Occasionally lime salts are deposited in the cancer 662 MALIGNANT DISEASE OF THE UTERUS cells. This chalky deposit may be extensive and may even be found in themetastases. Adeno=carcinoma of the cervix arises from the cylindrical cells lining the interiorof the cervix and fo
. The diagnosis and treatment of diseases of women. cur in whichthe cells are broken down and become simply fluid and debris. Hemorrhageinto certain parts of the growth may occur and, as a result of that hemorrhage,there remain clots and discoloration and fluid. Infection may take place, leadingto suppuration or sloughing. Occasionally lime salts are deposited in the cancer 662 MALIGNANT DISEASE OF THE UTERUS cells. This chalky deposit may be extensive and may even be found in themetastases. Adeno=carcinoma of the cervix arises from the cylindrical cells lining the interiorof the cervix and forming the cervical glands. It may then in the beginning belocated at the external os or in the cervical canal or in any part of a glandextending deeply into the cervical wall. As the cell-columns penetrate the under-lying tissues, the cells assume somewhat a gland formation owing to this deriva-tion from gland-forming epithelium. This gland formation, however, is veryirregular and atypical, being represented to a large extent only by solid columns. Fig. 617. An Antero-posterior Section of the specimen shown in Fig. 616. Microscopic examinationshowed that the epithelioma extended along the cervical canal practically to the internal os. of cells. Malignant adenoma is a rare form of adeno-carcinoma in which thepenetrating cells preserve, to a marked extent, the glandular arrangement. The infiltration in adeno-carcinoma, being situated in the interior of thecervix, is not appreciated by the examining finger until a considerable mass hasformed. The cUsease pursues much the same general course as described for epithel-ioma, the carcinoma cells penetrating deeper and deeper into the cervix and intothe surrounding connective tissue (Fig. 620). PATHOLOGY OF CARCINOMA OF CERVIX 663 Endothelioma is a rare form of malignant disease of the cervix in which micro-scopic examination sliows spaces Hned with prohferating cells resembling endo-thelium. Its exact nature and origin have not been de
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