Gynecological diagnosis and pathology . menopause. At both these times other forms of degeneration are morecommon. Necrobiosis, for instance, is the commonest degenerativechange after childbirth. Calcification.—This change results from a deposit of lime salts, chieflyphosphates, in the tumour. It may occur in interstitial or in sub-peritoneal tumours, but is most frequent in the latter. As a rule it beginsat or after the menopause. The calcification may occur in scattered areasthroughout the tumour or may be generalised so that the whole massbecomes stony—the so-called womb-stone. The tumour b
Gynecological diagnosis and pathology . menopause. At both these times other forms of degeneration are morecommon. Necrobiosis, for instance, is the commonest degenerativechange after childbirth. Calcification.—This change results from a deposit of lime salts, chieflyphosphates, in the tumour. It may occur in interstitial or in sub-peritoneal tumours, but is most frequent in the latter. As a rule it beginsat or after the menopause. The calcification may occur in scattered areasthroughout the tumour or may be generalised so that the whole massbecomes stony—the so-called womb-stone. The tumour becomesheavier, and this increased weight and the feeling of bearing-down arethe only symptoms of which the patient complains. If the tumour issub-peritoneal and has a narrow pedicle, the latter may give way and thecalcified mass become free in the peritoneal cavity, surrounded as a ruleby omentum. Hyaline Degeneration.—In some cases the fibres undergo a hyalinechange. Such tumours are densely hard, and microscopically present the. Fig. 116.—Uterine Fibroid—Hyaline the hyaline change in the tissue. appearance shown in fig. 116. The outline of the individual fibres is lostand the staining is diffuse. Mucoid and Myxomatous Degeneration.—Mucoidand myxomatousdegeneration may occur at any time in the life-history of the tumour, butis most frequently met with at or after the menopause. Areas of thetumour become softened (fig. 117). When examined microscopically,these areas show mucoid and myxomatous change. The fibres arewidely separated and degenerated. The softening may go on to such anextent as to result in the formation of fluid, and when the areas are large DEGENERATIVE CHANGES IN FI11UOII) TUMOURS 119 one form of fibrocystic tumour is produced. A rapid increase in the size of the tumour, together with softening, indicates this change. Cystic --This may result from an extensive mucoid andmyxomatous degeneration, or may he produced as t
Size: 1692px × 1476px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
