American gynaecological and obstetrical journal. . a werealso found in the tubes. Hystero-Salpingo-Oophorcetomy (Abdominal) for Primary Car-cinoma of Both Fallopian Tubes, Myo-Fibroma of theUterus, and Adeno-Myoma of the tubes. Total, one. Recovered, one.* This case is of especial interest,as only nineteen other cases of primary carcinoma of the tubes arefound in the literature . * This patient died about six months after leaving the hospital from re-currence of the carcinoma. I Microscopic Sections of Papilloma and Carcinoma of the Tubes. 283 Mrs. T. M., Bohemian, aged forty-five years, alway
American gynaecological and obstetrical journal. . a werealso found in the tubes. Hystero-Salpingo-Oophorcetomy (Abdominal) for Primary Car-cinoma of Both Fallopian Tubes, Myo-Fibroma of theUterus, and Adeno-Myoma of the tubes. Total, one. Recovered, one.* This case is of especial interest,as only nineteen other cases of primary carcinoma of the tubes arefound in the literature . * This patient died about six months after leaving the hospital from re-currence of the carcinoma. I Microscopic Sections of Papilloma and Carcinoma of the Tubes. 283 Mrs. T. M., Bohemian, aged forty-five years, always enjoyedgood health until about two weeks before admission to the hospital,August 29, 1896. She had had one child twenty-three years miscarriages. Her only symptoms were pain in the pelvis anddifficult urination. No family history of malignant disease couldbe obtained. Menstruation had been regular and normal inamount, but painful. The temperature from time of admission tothe hospital until time of operation varied from 990 to 1030; pulse. FIG. 2. Papilloma of right tube and ovary (Case i). Tube and ovary cut open, i, papillomaon surface of ovary ; 2. papilloma in cavity of tube; 3, papilloma on surface of tube ; 4,ovary; 5, abscess cavity in ovary ; 6, abscess-membrane ; 7, uterine end. 90 to 108. Vaginal examination revealed a fibro-myoma of theuterus, with large fluctuating masses posterior and to each side ofthe uterus. The operation was somewhat difficult on account ofnumerous and firm adhesions. The following is a report of specimen by Dr. E. Ries: Uterus88 mm. long, cervix 12 mm. long, wall of fundus 10 mm. wall contains a fibroid with well-marked capsule. Poste-rior wall 88 mm. thick, 16 mm. being the thickness of the uterine 284 T. J. Watkins, muscular tissue. In each uterine horn is found by a nodule ( 3), which has a 15 mm. antero-posterior diameter on theleft and a 17 mm. diameter on the right side. The right nodule hasthree smal
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