Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . into the pelvis. The removal of calcareous myomas per vaginam some-times presents considerable difficulty. In the Transactionsof the Obstetrical Society of London^ Wynn Williams records acase of an intramural calcareous tumour impeding consisted of ordinary fibrous tissue and fine granularmatter. The patient was a primipara, aged 45 ; she madea good recovery. Portions of the tumour lying in advanceof the childs head were extracted by a cephalotribe ; thechild was then deli
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . into the pelvis. The removal of calcareous myomas per vaginam some-times presents considerable difficulty. In the Transactionsof the Obstetrical Society of London^ Wynn Williams records acase of an intramural calcareous tumour impeding consisted of ordinary fibrous tissue and fine granularmatter. The patient was a primipara, aged 45 ; she madea good recovery. Portions of the tumour lying in advanceof the childs head were extracted by a cephalotribe ; thechild was then delivered by hooks, and the remainingportion of the growth removed from a pouch like awatch-pocket in the lower segment of the uterus. Thisprocedure was necessary before the removal of the placenta,to the passage of which it formed an impediment. Calcified myomas of the submucous type may beexpelled either by a process of sloughing or by dilatationof the cervix. In a case in which I operated for supposednodular tuberculous salpingitis, the nodule on the cornual \o\. xvii. pages 172-174, 1875. Plate XIV Fig. 69. FiGURF, 69. Showing a calcareous nodule in a tundal must be assumed that the calcified area represents theoldest part of the myoma. :^-.^^ ?^. Figure 70. Fat-globules stained golden red by Sudan globules run in the direction of the a case ofRed degeneration. Section prepared byGordon Ley. i in. obj. 2 eyepiece. ACK IAGF IV FATTY DEGENERATION 6i end of the Fallopian tube proved to be a small calcareousmyoma (see Fig. 38, p. 37). Figure 69, Plate XIV., shows a solid calcareous nodulein a fundal myoma removed from a patient, aged 54 years,by vaginal hysterectomy. Calcification in a myoma can be detected by the em-ployment of X-rays. 5. Fatty Degeneration.—The majority of myomas,large and small, show hyaline change ; the same cannot besaid of fatty degeneration : there is a big jump, so to speak,in the sequence of happenings, between hyalin
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