Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . jj-j parts. In fact, the greater part of the swelling was due to the thickened circular muscle-layer, which was three times the normal thickness, whilst the Fig. 204.—Section throuijh the rectal wall in Kleinhans . i- 1 1 second case. The dotted line embraces asingle- loUgltudmal layer WaS file process extending from the main growth 1111 \ 1^1 through the submucosa towards the mucous doublcthe USUai breadth, membrane of the bowel. (Kleinhans,/..) The tumOUTS WCTC iu- vaded by gl
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . jj-j parts. In fact, the greater part of the swelling was due to the thickened circular muscle-layer, which was three times the normal thickness, whilst the Fig. 204.—Section throuijh the rectal wall in Kleinhans . i- 1 1 second case. The dotted line embraces asingle- loUgltudmal layer WaS file process extending from the main growth 1111 \ 1^1 through the submucosa towards the mucous doublcthe USUai breadth, membrane of the bowel. (Kleinhans,/..) The tumOUTS WCTC iu- vaded by gland-spaces right up to the base of Lieberkuhnscrvpts (see Fig. 204). Kleinhans compares this case tothe rare condition of adenoma malignum cervicis^ which isrelatively innocent, he thinks it demonstrated a form ofmalignancy of low type. Such a view is now known tobe erroneous. Cases 9-13. In 1909 R. Meyer reported on five cases oftumours in the recto-genital space ; the specimens were sentto him by Gerstenberg, Glockner, Mackendrodt, and Rumpf(two cases). Two of the growths were removed during opera-. tion for carcinoma of the portio cervicis. Cases 3, 4, and II OF THE RECTO-GENITAL SPACE 339 were nodules removed because they were painful, the painbeing chiefly felt during coitus. The masses were diffuse, non-circumscribed, and therefore thought to be inflammatory. They were associated with perimetritic adhesions, and inone case with adherent omentum. Partial resection of therectum was performed in one instance. Meyer regardedall the cases as examples of parametritis nodosa posterior,and stated that those described by von Herff, Pfannenstiel,von Franque, Pick,and others, are of this parametritic difl^use examples of the same condition were illus-trated by the cases of Fiith, von Franque, Kleinhans, andMoraller. The distinction between parametritis nodosaand diffusa was quantitative only, the genesis was the samein each. The diffuse form spreads downwards over
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
