Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . oagulate afterstanding for many months. The fluid was entirely devoid otleucocytes and fibrin ferment. Figure 150, page 192, underthe heading Diagnosis, shows a similar cystic myoma. It is far more usual to meet with localised cystic forma-tion than to find the liquefaction so diffused as it is seen inthe foregoing illustrations. Subserous, and especially perhapssubserous pedunculated, myomas are the types of growthswhich afford the best examples of discrete cysts. Evenhere the form


Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . oagulate afterstanding for many months. The fluid was entirely devoid otleucocytes and fibrin ferment. Figure 150, page 192, underthe heading Diagnosis, shows a similar cystic myoma. It is far more usual to meet with localised cystic forma-tion than to find the liquefaction so diffused as it is seen inthe foregoing illustrations. Subserous, and especially perhapssubserous pedunculated, myomas are the types of growthswhich afford the best examples of discrete cysts. Evenhere the formation of the larger cystic spaces is producedby the fusion of smaller cysts. This is clearly seen inFigure 62, which shows amongst other interesting patho-logical conditions a pedunculated cystic myoma opened upto demonstrate multiple cystic spaces intercommunicatingthrough the breaking down of intervening septa. Thesame trabecular arrangement is seen in the wall ot thelarger cyst in Figure 63. From the presence of these trabeculae it would seemclear that the latter cyst was the result of the fusion of many. 56 SECONDARY CHANGES IN MYOMA chap. smaller ones. This drawing shows also another featurealready alluded to, viz. the presence of thrombosed vessels


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