Treatise on gynæcology : medical and surgical . ber is very variable; certain uteri present an enormousnumber of interstitial or pediculated nodules. Most frequentlythere are three or four distinct tumors; at other times there is butone. Though clinically there may appear to be but one, not rarelythere is another in the thickness or on the surface of the organ, 21S CLINICAL AND OPERATIVE GYNAECOLOGY. which either may remain latent indefinitely or may finally develop;this fact is often demonstrated at laparatomies. These tumors may reach very large proportions, and then oftenbecome fibro-cysts.
Treatise on gynæcology : medical and surgical . ber is very variable; certain uteri present an enormousnumber of interstitial or pediculated nodules. Most frequentlythere are three or four distinct tumors; at other times there is butone. Though clinically there may appear to be but one, not rarelythere is another in the thickness or on the surface of the organ, 21S CLINICAL AND OPERATIVE GYNAECOLOGY. which either may remain latent indefinitely or may finally develop;this fact is often demonstrated at laparatomies. These tumors may reach very large proportions, and then oftenbecome fibro-cysts. Stockard found one, in a negress,5 that wascolossal, weighing one hundred and thirty-five pounds. Even thesolid tumors may be as large. Hunter,6 of New York, recently observedone that weighed one hundred and forty pounds, while the cadaverafter its removal weighed but ninety-five. The body of the uterus is more often affected than the cervix. Thetumors position relative to the uterine tissues permit us to distin-guish the following varieties:. Fig. ISO.—Subperitoneal and Interstitial Fibroids op the Fundus of the Uterus. (The incisions are to show the multiple nodules.) 1. Interstitial, in the thickness of the (usually hypertrophied)muscular parenchyma. 2. Submucous, immediately or nearly below the mucous mem-brane. 3. Polypoid, or pediculated, hanging from the mucous membraneby a stem or fold of the mucosa, with muscular fibres and vessels. 4. Subperitoneal, external to the muscular tissue, with a broadbase or with a narrow pedicle; it is well not to speak of these aspolyps, even though they may resemble them, but to keep that namefor those which are found within the cavity of the organ. An im-portant sub-variety is the intra-ligamentous, developing in the thick-ness of the broad ligament, which will be described with tumors ofthe cervix. Whatever may be the seat of the fibroma, it provokes a constantbut varying degree of uterine hypertrophy. UTERINE FIBROMATA. 219 The mus
Size: 2247px × 1112px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubje, booksubjectgynecology
