. The diagnosis of diseases of women . Infiltrating Carcinoma of the Cervix. The entire cervix is infiltrated, and. partially disintegrated. In the cavityof the uterus is a fungous growth (fungous endometritis). PLATE L. ■^A, Ai-.^iO W^-im ^ -f ^.,. H? ««rM*5, N .^. A^ Benign Papilloma of the Ovary. DIAGNOSIS OF CARCINOMA OF THE UTERUS 353 growth. In carcinoma the sound will sink into the soft growthand cause considerable bleeding. An exploratory curettage followed by a microscopic examinationof the scrapings will supply an absolute means of making a diag-nosis, and should be made in e
. The diagnosis of diseases of women . Infiltrating Carcinoma of the Cervix. The entire cervix is infiltrated, and. partially disintegrated. In the cavityof the uterus is a fungous growth (fungous endometritis). PLATE L. ■^A, Ai-.^iO W^-im ^ -f ^.,. H? ««rM*5, N .^. A^ Benign Papilloma of the Ovary. DIAGNOSIS OF CARCINOMA OF THE UTERUS 353 growth. In carcinoma the sound will sink into the soft growthand cause considerable bleeding. An exploratory curettage followed by a microscopic examinationof the scrapings will supply an absolute means of making a diag-nosis, and should be made in every case, no matter what the otherfindings may be. MICROSCOPIC DIAGNOSIS OF CARCINOMA OF THE UTERUS. We have learned that an early diagnosis of carcinoma of theuterus is seldom made from clinical manifestations or from thenaked-eye appearances of the growth; that the only positive means Fig. 146 *pv r .,-^ 1 of making an early diagnosis is by a microscopic examination ofexcised pieces and of scrapings removed by the curette. Fig. 147 r I. Carcinoma of the Vaginal Portion of the Cervix. In ad-vanced cases where there is ulceration of the cervix and where thevagina and parametrium are infiltrated, a microscopic examination 23 354
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