. Gynecological pathology; a manual of microscopic technique and diagnosis in gynecological practice, for students and physicians. REGNANCY. that the inner surface of such a cast of the uterine ^avity is not smooth,but shows a very remarkable grooving. This has been remarked byvarious observers, and by some has been considered to be connected withthe division of vessels. At the height of those fields formed by groovesa star-shaped, divided vessel is supposed to be found. The vessels changein the same way as in normal pregnancy. The cell layer is filledwith a network of fine capillaries much wi
. Gynecological pathology; a manual of microscopic technique and diagnosis in gynecological practice, for students and physicians. REGNANCY. that the inner surface of such a cast of the uterine ^avity is not smooth,but shows a very remarkable grooving. This has been remarked byvarious observers, and by some has been considered to be connected withthe division of vessels. At the height of those fields formed by groovesa star-shaped, divided vessel is supposed to be found. The vessels changein the same way as in normal pregnancy. The cell layer is filledwith a network of fine capillaries much wider than normal. The nearerwe approach the deeper layers from the surface, the larger become thesefine vessels, so that they are there four to five times as large. They runpartly parallel to the surface, partly obliquely to it, and lie at times soclose beneath it that no cell layer can be distinguished over them. Whilein the deeper layers their course is a twisted one, near the surface theyare straight. Extra branches are not given off by the vessels. In myspecimen I could see the vessels everywhere lined with a distinct en-. Figuke 29.—Spontaneously Expelled Uterine Decidua in a Tubal Gestation (two and one-half months).St., stroma consisting of enlarged cells ; Ep., surface epithelium stretched to an en-dothelial-like membrane—at a it is loosened from the underlying tissue as a result of thecutting. dothelium. Whether I was dealing with capillaries cannot be statedpositively, for the arteries as well as the veins lose their muscular wall inthe change from endometrium into decidua. This is not the place to enter more closely into the very difficultrelations; I believe I have discussed sufficiently what is important forpractice. That these relations are of great importance in practical diagnosisis shown by the fact that the microscopist is often asked whether apiece expelled from the uterus is a menstrual anomaly, or whether it isrelated to an abortion or to an extrauterine
Size: 2006px × 1246px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectwomen, bookyear1901
