Treatise on gynaecology : medical and surgical . ucus upon the mucous membrane and in the depressionsbetween the folds of the arbor vitce ; p, folds of the arbor vitce and villi covered v^^ith columnar epithelium;ff. 3. &i glands and depressions between the folds of the arbor vitoe; a, a, a, giant cells situated in the con-nective tissue of the mucous membrane, surrounded by microscopic tubercular follicles (Cornil). tomy. The clinical diagnosis of the lesion was uncertain. The ap-pearance of the hypertrophied cervix, which was indurated, coveredwith irregular vegetations, bathed in a thick, y
Treatise on gynaecology : medical and surgical . ucus upon the mucous membrane and in the depressionsbetween the folds of the arbor vitce ; p, folds of the arbor vitce and villi covered v^^ith columnar epithelium;ff. 3. &i glands and depressions between the folds of the arbor vitoe; a, a, a, giant cells situated in the con-nective tissue of the mucous membrane, surrounded by microscopic tubercular follicles (Cornil). tomy. The clinical diagnosis of the lesion was uncertain. The ap-pearance of the hypertrophied cervix, which was indurated, coveredwith irregular vegetations, bathed in a thick, yellow, grumous fluid,suggested cancer, and on this hypothesis Pean removed the opening of the cervical cavity showed that the folds of thearbor vitae were very pronounced, vegetating, agglutinated together GENITAL TUBERCULOSIS. 199 by sticky mucus, studded with opaque clots. A histological exam-ination showed that it was a case of tuberculosis of the cervix of theuterus limited to that part of the organ. This specimen is very in-. FiG. 54.—Tuberculosis of the Cervix Uteri. Same section as in the preceding figure, enlarged. ( diam.) m, Mucus; s, surface of villi and papillae; g, mucus glands covered with columnar epithelium;V, vessel; c, c, c, giant cells in the Inflamed connective tissue; p, a papilla partly covered by its epithe-lial layer, w^hose connective tissue tc is inflamed and shows numerous small cells (Cornil). 200 CLIJSnCAL AND OPERATIVE GYjST^ECOLOGY. teresting because of its rarity, and the limitation of the tubercularprocess. The preparations obtained by sections perpendicular to thesurface of the mucous membrane, made after hardening in alcohol,show, under a low power (Fig. 53), that the folds of the arbor vitsehave secondary villosities, and are separated by deep depressions, intowhich open the utricular or compound glands of the cervix. Thesurface of the mucous membrane, as well as the depressions andglandular cavities, are lined and filled
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