. Operative gynecology. injected. The pedunculate subserous tumor above, which has been divided, shows atessellated arrangement of the large injected vessels surrounding its base; on the leftside the vessels are seen penetrating the substance of the tumor between its lobules;the distal portion is anemic. The large interstitial tumor is seen everywhere pene-trated by small capillaries, and there are a few large vessels near the outer margin andthe center. There is a remarkable contrast between the vascular supply of the uterusand that of the tumor which is partially submucous. The uterine cavit
. Operative gynecology. injected. The pedunculate subserous tumor above, which has been divided, shows atessellated arrangement of the large injected vessels surrounding its base; on the leftside the vessels are seen penetrating the substance of the tumor between its lobules;the distal portion is anemic. The large interstitial tumor is seen everywhere pene-trated by small capillaries, and there are a few large vessels near the outer margin andthe center. There is a remarkable contrast between the vascular supply of the uterusand that of the tumor which is partially submucous. The uterine cavity is furtheroccupied by sessile and pedunculate submucous tumors, each of which shows a beau-tiful vascular corona; on the free surface of the upper tumor there is a leash of largevessels. The atrophy of the mucous membrane over these growths is in contrast withthe unaltered mucosa of the rest of the utei-us. Specimen injected by Dr. J. G. Clarkto demonstrate the source of hemorrhages from the uterine mucosa. PLATE LiHiPtang& CLINICAL CHARACTERS OF FIBROID TUMORS. 339 body, usually above the cervix, varying in size from a microscopic node to thatof a mass or masses choking the whole abdominal cavity. The tumor is madeup of a disorderly interlacement of muscular and connective-tissue fibers, in thelarger masses grouped into more or less well-defined spherical nodules. Between the groups of fibers run arteries, veins, and lymph channels derivedfrom the normal vessels of the uterus, ramifying at first beneath the capsule ofthe tumor and then plunging directly into its interior. Isolated tumors withinthe uterine walls are well circumscribed and surrounded by the normal muscularfibers; tumors projecting through the muscular wall become covered on theuterine side by the mucosa, and on the abdominal side by peritoneum. Clinical Characters of Fibroid Tumors.—Although all myomata probably existin fetal life in diminutive form, they rarely give evidence of their prese
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
