. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Fig. 110.—Gravid uterus in sagittal section. The patient miscarried at the seventhmonth, and the arm presented. Delivery heing impossible on account of a largecervical fibroid, the uterus with its cervix was removed. The cedema of thepresenting arm is well shown. {Museum of the RoyaJ CoUetje of Surt/eons.) nancy apart from septic infection, or from mechanical injurywhich the tumour may receive in the course of the gradual FIBROIDS AND PREGNANCY 201 enlargement of the uterus, or during its sudden diminutiona
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Fig. 110.—Gravid uterus in sagittal section. The patient miscarried at the seventhmonth, and the arm presented. Delivery heing impossible on account of a largecervical fibroid, the uterus with its cervix was removed. The cedema of thepresenting arm is well shown. {Museum of the RoyaJ CoUetje of Surt/eons.) nancy apart from septic infection, or from mechanical injurywhich the tumour may receive in the course of the gradual FIBROIDS AND PREGNANCY 201 enlargement of the uterus, or during its sudden diminutionafter delivery. Moreover, the change which pregnancyinduces in fibroids has interested me for many years, andI have been able to collect a large number of facts frompersonal rig. 111.—Gravid uterus deformed by fibroids which were soft and red, while onewas difluent. Eenioved from a woman aged 28 on account of pain, impaction,and rotation of the uterus. The arrow lies in the cervical canal. The usual colour of a uterine fibroid is pale yellow; inmany degenerating and necrotic fibroids this colour the course of pregnancy a fibroid, especially one of theinterstitial kind, assumes a deep-red or mahogany tint. Inthe early stages the tumour exhibits the colour in streaks,but as the pregnancy advances it permeates the whole , even in the mid-period of pregnancy, this 202 GONNEGTIVE-TISSUE TUMOURS necrotic change may be so extreme that the central part ofthe tumour is reduced to a red pulp. In 1903 Fairbairn wrote an excellent j)aper on thisnecrotic change in fibroids, and it is now becoming familiaras the red degeneration. Until Fairbairn began to accu-mulate the material for this paper I held the opinion thatthis change was only
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
