American gynaecological and obstetrical journal. . e endometrium. The endometrium presented nothingbut a very light glandular hyperplasia. The muscular coat of theuterus (with the exception of the external layers mentioned above) * Ries: Amer. Jour, of Exper. Med. (To appear in the next issue.) 4 Microscopic Sections of Papilloma and Carcinoma of the Tubes. 291 and the myoma contained absolutely no epithelial formations. Themyoma, or rather myofibroma, had a well-pronounced capsule, andhad none of the characteristics of an adeno-myoma. The roundligament showed small carcinomatous nodules in an
American gynaecological and obstetrical journal. . e endometrium. The endometrium presented nothingbut a very light glandular hyperplasia. The muscular coat of theuterus (with the exception of the external layers mentioned above) * Ries: Amer. Jour, of Exper. Med. (To appear in the next issue.) 4 Microscopic Sections of Papilloma and Carcinoma of the Tubes. 291 and the myoma contained absolutely no epithelial formations. Themyoma, or rather myofibroma, had a well-pronounced capsule, andhad none of the characteristics of an adeno-myoma. The roundligament showed small carcinomatous nodules in and under its se-rous coat, but its substance was free from epithelial elements. The carcinomatous infection of the adhesion membranesaround the uterus and its ligaments has produced quite bulkytumors, especially on the right side of the broad ligament, wherethe tumor which is mentioned in the macroscopic description (R. 3), and which has almost attained the size of an ovary, ispurely a carcinomatous growth. The formation of adhesions with. Fig. 6. Microscopic section of ovary (Case 2). E, germinative epithelium of ovary-interrupted where carcinomatous masses C adhere to the surface of the ovary. The sub-stance of the ovary, O, is normal. the ovaries has also given rise to the growth of metastatic carcinomaon the ovaries (Figure 6). The substance of the ovaries is withouta trace of carcinoma, but the surface of the ovaries is studded withcarcinomatous nodules. Their metastic nature is proven by thefact that in many instances the carcinomatous nodule and the ovar-ian substance are separated by a well-preserved line of germinativeepithelium, which is interrupted at the places where the adhesionmembrane has grown to the ovary. The carcinoma is arranged inthe same way as in the subserous nodules on the surface of the tubesand uterus; that is , in solid strings of cells following the lym-phatics. Where we see a tumor originating in the germinativeepithelium of the ovary
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