Treatise on gynæcology : medical and surgical . re is no need of dwelling upon the microscopiccharacters of sarcoma which here present nothing of special interest(Fig. 206), except to notice that the histological elements of sarcomaand cancer have occasionally been united in the same tumor, thusconstituting a mixed form or carcino-sarcoma (Klebs). CANCER OF THE BODY OF THE UTERUS. 407 When the sarcoma forms a pedicled tumor it may present in thecervix like a Its ulceration and disintegration are morerapid than in the case of epithelioma, and when the jjrocess has ke_gun it may destroy
Treatise on gynæcology : medical and surgical . re is no need of dwelling upon the microscopiccharacters of sarcoma which here present nothing of special interest(Fig. 206), except to notice that the histological elements of sarcomaand cancer have occasionally been united in the same tumor, thusconstituting a mixed form or carcino-sarcoma (Klebs). CANCER OF THE BODY OF THE UTERUS. 407 When the sarcoma forms a pedicled tumor it may present in thecervix like a Its ulceration and disintegration are morerapid than in the case of epithelioma, and when the jjrocess has ke_gun it may destroy the uterine parenchyma. Abel,19 as I have already mentioned, affirms that diffuse sarcomaof the body of the uterus often coexists with circumscribed epithe-lioma of the cervix, but he seems to have taken a purely inflamma-tory lesion for a sarcomatous growth. Symptoms and Diagnosis.—The symptoms resemble in manyparticulars those of the preceding form. There is hemorrhage, aserous discharge, and increase in the size of the uterus. The intro-. Fig. 206.—Diffuse Sarcoma of the Uterine Mucous Membrane. The neoplasm is separated from theperitoneum on the left by a well-marked layer of healthy muscular tissue several millimetres thick; thesuperficial portions toward the cavity of the uterus, on the right, are beginning to disintegrate. In thedeeper parts are seen the connective-tissue fibrils, rich in fusiform cells with long and short them is an amorphous basement substance with a large accumulation of round cells whose-nucleiappear to resemble those of the others. In the superficial portions the bands of connective and musculartissue have entirely disappeared, being replaced by round cells. The tumor is very rich in vessels, aboutwhich are foci of hemorrhage. In no part of the tumor can we find any trace of either mucous membraneor gland (Wyder). duction of the finger discovers the neoplasm. The cervix is not in-volved. But sarcoma is distinguished from epit
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