Gynaecology for students and practitioners . Fig. 263. Section of Perithelioma of the Uteris. (DoranandLockyer.)showing the microscopic appearances of tumour in Fig. 262. , Blood-vessel ; , Lymphatic Embolus ; , Peritheliomatous Growth ; M.,Uterine Muscle ; T., Tubules from Mucosa. irregular, or continuous, but is seldom profuse. Before the menopausethe first indication of haemorrhage may be progressively increasingmenorrhagia. The discharge is watery and blood-stained, and becomes. Fig. 264. Perithelioma of the Uterus (Low Power) (Johnstone) Whorlsof epithelioid cells are arranged
Gynaecology for students and practitioners . Fig. 263. Section of Perithelioma of the Uteris. (DoranandLockyer.)showing the microscopic appearances of tumour in Fig. 262. , Blood-vessel ; , Lymphatic Embolus ; , Peritheliomatous Growth ; M.,Uterine Muscle ; T., Tubules from Mucosa. irregular, or continuous, but is seldom profuse. Before the menopausethe first indication of haemorrhage may be progressively increasingmenorrhagia. The discharge is watery and blood-stained, and becomes. Fig. 264. Perithelioma of the Uterus (Low Power) (Johnstone) Whorlsof epithelioid cells are arranged around vessels ; the endothelium of the latter is intact. offensive at an early stage. Pain is severe and occurs comparativelyearly ; this is probably due to the relatively rapid rate of growth.•Constitutional symptoms, such as headache, sleeplessness, anaemia, 33 514 GYNECOLOGY and loss of flesh sometimes appear early and are out of proportion to theamount of haemorrhage and discharge ; such symptoms should arousesuspicion of malignancy without reference to the size of the uterinetumour. The marked tendency of all sarcomatous growths to necrose{see Fig. 261) and become infected is well known ; this results in septicpoisoning and Veit calculates that of the mortality from uterine sarcoma85 per cent, is to be attributed directly to cachexia and sepsis. The treatment consists in total extirpation of the uterus and itsadnexa without delay ; the abdominal operation is preferable to theva
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
