. Clinical gyncology, medical and surgical. surface beingthat noted above as occurring in senile atrophy. Embedded in this scle-rosed tissue, here and there, are cystic cavities, evidently the remains ofconstricted and degenerated glands. In the glandular type of chronic endometritis the glands, without losingtheir normal structure, act the chief part. There are two forms of thisvariety, one in which the glands are increased in their dimensions (hyper- INFLAMMATION OF THE FEMALE GENITAL ORGANS. 303 trophic), another in which there is an increase in the quantity ofgland tissue (hyperpla
. Clinical gyncology, medical and surgical. surface beingthat noted above as occurring in senile atrophy. Embedded in this scle-rosed tissue, here and there, are cystic cavities, evidently the remains ofconstricted and degenerated glands. In the glandular type of chronic endometritis the glands, without losingtheir normal structure, act the chief part. There are two forms of thisvariety, one in which the glands are increased in their dimensions (hyper- INFLAMMATION OF THE FEMALE GENITAL ORGANS. 303 trophic), another in which there is an increase in the quantity ofgland tissue (hyperplastic). In the former the glands no longer appear asa series of straight tubes, but are twisted, elongated, and arranged the second form not only does one rind an increase in the number ofthe glands, but they are distorted, and here and there present lateralprolongations or diverticula?. It is probable that all cases of glandularendometritis present a combination, in varying proportion, of these twoforms of degeneration. Fig. Interstitial endometritis, with partial atrophy of the glands. (Wyder.) The third type of this lesion—chronic polypoid endometritis—is thatin which the mucous membrane presents the villous projections or vegeta-tions already noted. Histologically, it is a combination of the interstitialand glandular varieties, with marked cystic formation, together with greatincrease of the vessels, both in number and in dimensions, and of the inter-glandular structure. The cysts, as in the interstitial variety, are the remainsof occluded and degenerated glands, and are present in greater numbers atthe surface of the membrane than in its deeper portions; here they aremore nearly normal in structure, but yet are deflected so that they runobliquely or even parallel to the subjacent muscular structure. They mayeven extend their usual limitations and dip down between the mus-cular fibres. In some parts of the field it will be noted around the cystsan
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