. Clinical gyncology, medical and surgical. , cut surface. BENIGN NEOPLASMS OF THE UTERUS. 557 pedunculated by uterine contractions. The uterine structure is nearlyalways hypertrophied, but there are cases in which the opposite condition ispresent. The mucous membrane of the uterus is almost invariably in astate of inflammation. The nearer the tumor is situated to the mucosa themore apt arc we to find interstitial endometritis, and when farther away theglandular form predominates ; but, just as occurs in chronic metritis, thesame specimen may show various forms of inflammation. The ovarie
. Clinical gyncology, medical and surgical. , cut surface. BENIGN NEOPLASMS OF THE UTERUS. 557 pedunculated by uterine contractions. The uterine structure is nearlyalways hypertrophied, but there are cases in which the opposite condition ispresent. The mucous membrane of the uterus is almost invariably in astate of inflammation. The nearer the tumor is situated to the mucosa themore apt arc we to find interstitial endometritis, and when farther away theglandular form predominates ; but, just as occurs in chronic metritis, thesame specimen may show various forms of inflammation. The ovaries arefrequently the seat of inflammation, and occasionally also the Fallopiantubes. Of the gross lesions, I have most frequently found a suppurativecondition of the tubes; hematosalpinx and hydrosalpinx less adnexa may be displaced in various directions. Ordinarily the tumorsare multiple, or a conglomeration of them is enclosed in the capsule whichsurrounds growths in this situation, and which is composed of muscular Fig. Interstitial tibro-myoma with an (/) intra-ligamentous fibro-myoma. structure and loose connective tissue, so that when we cut through a uterusthus degenerated the neoplasm will protrude beyond the cut surface, ren-dering enucleation usually quite easy. In the so-called soft fibro-myomata,the connection with the bed of the tumor is generally quite intimate, andat the surface of adhesion the growth is nourished by blood-vessels ofvarious sizes, whence the more rapid growth of this form. The cavity of the uterus is invariably elongated, and at times is sotortuous, owing to the presence of several tumors in the organ, that a soundcannot be introduced into it. It is possible for a growth developed inthe lower segment of the uterus to undergo a process of evolution intothe cervix, as in Duchemins case at the Strasburg clinic. The positionof the uterus in the pelvis varies with the situation of the growth. It isgenerally displaced anteriorly, or p
Size: 1837px × 1360px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksubjectgynecology, booksubjectwomen, bookyea
