. Operative gynecology. in-drical ciliated epithelium; this gives rise to the adeno-carcinomata ofthe body of the uterus. Epithelioma of the Cervix.—The clinical pictui-e of cancer of the uterusvaries greatly both with the location of the disease and with the stage of ad-vancement. Epithelioma of the vaginal portion of the cervix may be conveniently di-vided into three stages; in the earliest of these the cervix shows an area ofinduration and infiltration with increased vascularity and a glazedappearance, or the tissue may present a slight granular appearance due to smallfingerlike projections
. Operative gynecology. in-drical ciliated epithelium; this gives rise to the adeno-carcinomata ofthe body of the uterus. Epithelioma of the Cervix.—The clinical pictui-e of cancer of the uterusvaries greatly both with the location of the disease and with the stage of ad-vancement. Epithelioma of the vaginal portion of the cervix may be conveniently di-vided into three stages; in the earliest of these the cervix shows an area ofinduration and infiltration with increased vascularity and a glazedappearance, or the tissue may present a slight granular appearance due to smallfingerlike projections. The diseased tissue may begin to break down soon andpresent an excavated area, or it may go on until both lips of the cervix areinvolved and a mass is formed which fills the whole vagina, and appears to beattached to the vault by a pedicle, closely simulating a pedunculated commoner appearance, however, is that of a cauliflower growth with numer-ous fissures and excrescences, as described by Clark in Fig. 452.—Extensive Epithelioma of the Cervix extending up toward the Fundus, the Upper PartOK WHICH IS Free. Four Phleboliths in the Left Broad Ligament. Bunches of Vesicles onthe Dorsum of the Right Tube. Gyn. Path. No. 625. y, Natural Size. In the second stage the growth breaks down, bits of tissue sloughoff, and a portion of the cervix may be wanting, leaving an excavated ulcerwith infiltrated edges. With further advance in the third stage, the entire cer^dx disap-pears, leaving in its place a craterous cavity in the vaginal vault covered bynecrotic material with hard, irregular walls. With this extension the diseasemay open up the bladder, the rectum, or the peritoneal cavity, although in thecase of the peritoneum the general cavity is almost invariably shut off by aplastic peritonitis. Beginning with the earliest stages of the disease, the cancer cells may invadethe lymphatics, traveling as far as the glands, which then enlarge and in turnbecome foci fo
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
