Gynecological diagnosis and pathology . produced andRecto-Vaginal —(Farre.) wall the growth may extend deeply and eat its way into the bladder infront, producing a vesico-vaginal fistula, or into the rectum posteriorly,producing a recto-vaginal fistula (fig. 67). In addition to this continuous extension, there is also infection throughthe lymphatics. The lymphatic vessels from the cervix run through thecellular tissue at the bases of the broad ligaments to reach the hypogastricglands situated round the iliac vessels (fig. 6S). Some of the cancercells are arrested in the
Gynecological diagnosis and pathology . produced andRecto-Vaginal —(Farre.) wall the growth may extend deeply and eat its way into the bladder infront, producing a vesico-vaginal fistula, or into the rectum posteriorly,producing a recto-vaginal fistula (fig. 67). In addition to this continuous extension, there is also infection throughthe lymphatics. The lymphatic vessels from the cervix run through thecellular tissue at the bases of the broad ligaments to reach the hypogastricglands situated round the iliac vessels (fig. 6S). Some of the cancercells are arrested in the vessels in the broad ligaments, and in thissituation it is common to find a mass of cancerous tissue. This extendsoutwards towards the sides of the pelvis, and frequently comes to involvethe base of the bladder and the ureters. When the latter are involvedthe lumen may be obstructed, leading to hydronephrosis, which maylater develop into a pyonephrosis. Hence chronic uraemia is not un- 72 GYNECOLOGICAL PATHOLOGY Lover lumbar,glands. Kidney Upperlumbar glancU From todyofuterus From cervix Fig. tiS.—Lymphatics and Lymphatic Glands of Pelvis and Lowes Part of Abdomen.—(Poirier.) Note the hypogastric glands round the iliac vessels receiving the lymphatics from the cervix, and the lumbar glands receiving those from the uterus.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
