Gynecological diagnosis and pathology . MYOMA OF THE UTERUS. Note the great thickness of the uterine walls produced by the diffuse growth. Inone wall is a small interstitial fibro-myoma, and a mucous polypus projectsinto the lumen. FIHROin TUMOURS OF THE UTERUS 3 single layer of columnar epithelium. These glands vary greatly in size,some being narrow, others widely dilated. Fig. 114 shows the typicalappearance of such areas. The origin of the glandular elements in thesetumours is probably the endometrium. By serial section it is possible. Fig. 114.—Adeno-myoma of the Uterus. This differs from
Gynecological diagnosis and pathology . MYOMA OF THE UTERUS. Note the great thickness of the uterine walls produced by the diffuse growth. Inone wall is a small interstitial fibro-myoma, and a mucous polypus projectsinto the lumen. FIHROin TUMOURS OF THE UTERUS 3 single layer of columnar epithelium. These glands vary greatly in size,some being narrow, others widely dilated. Fig. 114 shows the typicalappearance of such areas. The origin of the glandular elements in thesetumours is probably the endometrium. By serial section it is possible. Fig. 114.—Adeno-myoma of the Uterus. This differs from the ordinary fibroid in showing glandular areas. Such an areais shown above. It consists of a cellular stroma exactly like that of theendometrium and in it are imbedded spaces resembling uterine glands. Theappearances suggest that these spaces have their origin from the endometrium. in many eases to trace the connection. In cases where no such connec-tion can be demonstrated, it has been thought that the glandular elementsmay be derived from the remains of Gartners duct and are thereforeWolffian in origin. Clinical Phenomena. Etiology.—Of the origin of fibroids nothing is known, though somewould trace them to changes in the connective tissue round the blood-vessels. They are by far the most frequent new formation in the development is related to the period of sexual vigour, as appearsfrom the table given in fig. 115. The statistics on which it is based dealwith the age at which the patient sought advice, there bei
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
