Gynaecology for students and practitioners . Fia. 347. Portion of Fig. 346. x malignant metaplasia is well shown. 638 GYK^COLO(^Y naked-eye changes. Cancer-cells may also make their way into thelumen of the tube through a patent abdominal ostium. Secondarycancer in the tube may occur with a primary growth situated in thealimentary tract; it is probable therefore that many of the casespresumed to be primarily tubal, are in reality secondary to an un-discovered cancer in some other organ. Primary Cancer of the tube is a rare disease, but not so rareas is simple papilloma, of which, accord
Gynaecology for students and practitioners . Fia. 347. Portion of Fig. 346. x malignant metaplasia is well shown. 638 GYK^COLO(^Y naked-eye changes. Cancer-cells may also make their way into thelumen of the tube through a patent abdominal ostium. Secondarycancer in the tube may occur with a primary growth situated in thealimentary tract; it is probable therefore that many of the casespresumed to be primarily tubal, are in reality secondary to an un-discovered cancer in some other organ. Primary Cancer of the tube is a rare disease, but not so rareas is simple papilloma, of which, according to Doran, only sixteen. Fig 348. Primary Adenocarcinoma of the Fallopian Tube, patientaged 58 (Herbert Spencer). The growth has considerably distended theouter part of the tube, the wall of which is intact except at the abdominalostium. (From the Journal of Obstetrics and Gyncecology of the BritishEmpire, vol. xvii, p. 33.) cases are recorded. Orthmann reported the first authentic case ofcancer of the tube in 1888, and in 1910 Doran brought the numberof his collated cases to 100, since when about forty more cases havebeen recorded. Clinical Features. Adenocarcinoma is more frequently bilateralthan is simple papilloma. It especially affects women at or aboutthe time of the climacteric. The age of the patient from whom thespecimen shown in Fig. 348 was removed was 58 years. Doranstates that parous women are the most subject to this disease. Pain is very common but not an invariable symptom. It appearsto be due to increased tension produced by retained secretion and is NEW GROWTHS OF THE TUBES 639
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
