. Operative gynecology. ines. There is an anemia of all the organ,s anda fatty degeneration of the liver. Ilydroureter. The myomata are not involved in the carcinomatous 926. Autopsy, March 29,1897. »/ natural size. COMPLICATIONS OF HYSTEEO-MTOMECTOMT. 381 In the adeno-carcinoma of the cervix there were multiple myomata scatteredthroughout the uterus. The majority of the cases, six out of eight, where thecarcinoma was present with myoma, were adeno-careinomata of the body. Themyomata were in some instances subperitoneal, in others interstitial, while inone case a small submucous n
. Operative gynecology. ines. There is an anemia of all the organ,s anda fatty degeneration of the liver. Ilydroureter. The myomata are not involved in the carcinomatous 926. Autopsy, March 29,1897. »/ natural size. COMPLICATIONS OF HYSTEEO-MTOMECTOMT. 381 In the adeno-carcinoma of the cervix there were multiple myomata scatteredthroughout the uterus. The majority of the cases, six out of eight, where thecarcinoma was present with myoma, were adeno-careinomata of the body. Themyomata were in some instances subperitoneal, in others interstitial, while inone case a small submucous nodule was present. Probably one of the most in-teresting cases was one of primary carcinoma of the ovary. The uterus wassecondarily involved, and not only was the muscle penetrated in all directionsby the new growth, but a large and degenerate myoma showed carcinomatousinvasion in numerous places. Although, as has been seen, carcinoma of theuterus is at times associated with myomata, the two diseases represent two dis-. .MyOMA with CrSTIC DEGENERAXrON. _ Large cavity, 6 x i-5 x 5 centimeters, filled with liquid resemblino: melted butter. The tumor is imbeddedin ^millimeters of the uteiine muscular tissue, and its walls are made up of interlacing non-striated muscu-lar fibers. No inflammatory changes found. Ilystero-mvomectomy. Kecovery. Path. No. 347. y, natu-ral size. tinct processes, in no way dependent tlie one upon the other, and the presenceof the one does not appear to alter the characteristic course of the other. 18. Tuberculosis of the Endometrium.—Tuberculosis of theendometrium is exceedingly rare as a complication in the large myomatousuterus. I have met with but one case, and in this the disease was not recogniz-able to the naked eye, but was readily shown by a microscopic examination occu-pying the entire mucosa; it extended out into both tubes, which were nodularand caseous but showed no breaking down. A piece removed from this case 382 MYOMECTOMY—HYSTEEO-MYOM
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