Gynecological diagnosis and pathology . Fig. 125.—Perithelioma of Uterus. Section of tumour shown in tig. 124. In the centre of the field is a large blood-vessel lined with endothelium. Arranged round it are the tumour-cells setmore or less radially. These cells are supposed to take origin from the peri-vascular lymphatics. 126 GYNECOLOGICAL PATHOLOGY occur in quite young children and takes the form of a [ungating growthwhich may fill up the whole of the vagina. Clinical Phenomena—Etiology.—Sarcoma is most frequently presentin nulliparous women or in those with a small family. It may occur ata
Gynecological diagnosis and pathology . Fig. 125.—Perithelioma of Uterus. Section of tumour shown in tig. 124. In the centre of the field is a large blood-vessel lined with endothelium. Arranged round it are the tumour-cells setmore or less radially. These cells are supposed to take origin from the peri-vascular lymphatics. 126 GYNECOLOGICAL PATHOLOGY occur in quite young children and takes the form of a [ungating growthwhich may fill up the whole of the vagina. Clinical Phenomena—Etiology.—Sarcoma is most frequently presentin nulliparous women or in those with a small family. It may occur atany age, but is most usual in later life. Symptoms.—These are practically the same as those in cancer of thebody of the uterus, namely, irregular uterine haemorrhage; leucorrhcealdischarge, at first watery in character, later blood-stained and is not so marked a feature as in cancer. General symptoms due tometastases come on Fig. 126.—Perithelioma of view showing vessel surrounded by malignant cells. Physical Signs.—In the early stages all that is detected is someenlargement of the body of the uterus, and in such cases diagnosis canonly be made by a curettage and microscopic examination of thescrapings. Later on, on vaginal examination, the lower protruding poleof the tumour may be felt coming through the cervix. It is extremelysoft, bleeds readily, and may be extremely foetid. It is distinguishedfrom a simple sloughing fibrous polypus by its softness and by itsmicroscopical characters. If the disease arises in a fibroid, there is anincrease in the amount of haemorrhage and the more rapid growth of thetumour can be noted. Every fibroid which takes on rapid growth oughtto be removed. AFFECTIONS OF THE FALLOPIAN TUBE 127 AFFECTIONS OF THE FALLOPIAN TUBE. Anatomy and Histology. From the uterus we pass to the consideration of affections of itsappendages—the Fallopian tube and ovary. Th
Size: 1744px × 1432px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
