Pathology and treatment of diseases of women . ur and thereby a truecancroid or epithelioma of the corpus uteri arises. Very much more frequently, however, the carcinoma of the corpusstarts from the glands. These experience a marked increase, proliferateinto the depth of the uterine wall as far as the peritoneal covering, and, PATHOLOGY OF THE VAGINA AND UTERUS 275 finally, also perforate this, and thus reach the open abdominal cavity. Onthe other hand, just as in the cervix so in the corpus, the carcinoma maydevelop on the basis of a mucous polypus, at first permeating this andlater on prolif
Pathology and treatment of diseases of women . ur and thereby a truecancroid or epithelioma of the corpus uteri arises. Very much more frequently, however, the carcinoma of the corpusstarts from the glands. These experience a marked increase, proliferateinto the depth of the uterine wall as far as the peritoneal covering, and, PATHOLOGY OF THE VAGINA AND UTERUS 275 finally, also perforate this, and thus reach the open abdominal cavity. Onthe other hand, just as in the cervix so in the corpus, the carcinoma maydevelop on the basis of a mucous polypus, at first permeating this andlater on proliferating into the uterine wall. The structure of the glandsin such cases may remain apparently normal in the beginning, so thatonly stratified epithelium and a preserved basal membrane is seen. Ifone, however, examines more carefully, he finds in each one of such casesalso polymorphous epithelia, perforation of the basal membrane and solidcell-plugs growing into the depths, so that the new-formation proves tobe a true carcinoma (see Fig. 129).. Fig. 128.âCervix Carcinoma Extending- Farther into the Lymph-Spaces,and Thereby Suggesting an Endotheliolymphoma. (Authors prep-aration. Zeiss, Obj. AA, Oc. 2.) The characteristic of carcinoma adenomatosum of the corpus uteri, incommon with the similar, much rarer tumors of the cervix and portio, thatin the beginning apparently a true adenomatous character is retained, hasled authors to name these new-formations adenoma malignum (corporis,cervicis, portionis vaginalis). We hold this designation incorrect, just;as Winter. We also regard these glandlike epithelial new-formationsalways as genuine carcinomata, because the characteristic features, suchas metaplastic epithelial proliferation, infiltrating growth, formation ofmetastases, can be proven in all cases by a thorough examination. According to our view-point the conception of adenoma malignummust be dropped. Corpus carcinomata may appear in the beginning as circumscribed(especially th
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