Gynaecology for students and practitioners . een described. Adeno-carcinoma may assume two different forms : (1) the tubular,and (2) the alveolar. Opinions differ as to which is the more common. (1) The tubular form consists of an irregular and very free prolifera-tion of gland-tubules of varied shape and size, which lie in contact withone another, the stroma being scanty. The tubules are lined withhigh columnar epithelium, which differs from that of the normal uterineglands in the situation and character of the cell-nuclei. The latter areplaced at irregular levels ; they are variable in shape


Gynaecology for students and practitioners . een described. Adeno-carcinoma may assume two different forms : (1) the tubular,and (2) the alveolar. Opinions differ as to which is the more common. (1) The tubular form consists of an irregular and very free prolifera-tion of gland-tubules of varied shape and size, which lie in contact withone another, the stroma being scanty. The tubules are lined withhigh columnar epithelium, which differs from that of the normal uterineglands in the situation and character of the cell-nuclei. The latter areplaced at irregular levels ; they are variable in shape and present karyo-kinetic figures ; and they do not stain with the same uniform intensityas do the nuclei of benign epithelium. The growing tubules may budoutwards {everting type) {see Figs. 284 and 285), or they may produce anumber of papillary processes within their own lumina {inverting type) 534 GYNECOLOGY (see Fig. 286). Both the inverting and everting forms occur togetherand have no pathognomonic significance. At the growing edge the. Fig. 284. Adeno-carcinoma of the Boby of the Uterus, x 30. Showingthe evertmg form of tubular carcinoma in its early stage.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1