Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Figure 26. Showing a submucous myoma, the lower pole of which hasbecome compressed, congested, and thrombosed from pressure ot thelower uterine segment and upper part of the cervical canal. To FACE PAGE 20 SUBMUCOUS MYOMA 21 to extrusion, strangulation, and exposure, they are muchmore prone to necrosis and infection than are the subserousand interstitial growths (see Figs. 25 and 26, Plate V.).Sloughing, gangrene, and putrefaction are conditions whichare practically confined to the
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Figure 26. Showing a submucous myoma, the lower pole of which hasbecome compressed, congested, and thrombosed from pressure ot thelower uterine segment and upper part of the cervical canal. To FACE PAGE 20 SUBMUCOUS MYOMA 21 to extrusion, strangulation, and exposure, they are muchmore prone to necrosis and infection than are the subserousand interstitial growths (see Figs. 25 and 26, Plate V.).Sloughing, gangrene, and putrefaction are conditions whichare practically confined to the submucous variety of Fig. 27.—Showing a large submucous myoma arising from the posterior lip of the growth lay in the vagina. The uterus was acutely retroflexed. Partially extruded submucous myomas may resemble theinverted fundus, and the latter has more than once beenamputated under the impression that it v^as a polypoidmyomatous growth (see Diagnosis, page 199). Submucous myomas vary in size from that of a smallcherry to that of a six months gestation. During menstrua- 22 MYOMA CHAP. tion there is a periodic dilatation of the cervical canal,and polypoidal myomas may then descend and presentat the external os. The growth recedes later. The term
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
