. Tumours, innocent and malignant; their clinical characters and appropriate treatment. subserous fibroid which had undergone extensive mucoiddegeneration. From a sterile married woman 37 years of age. microscopically resembles dense fibrous tissue, Avith here andthere strands of cells resembling unstriped muscle variety is often called fibro-myomas, and its mem-bers display the whorled arrangement in a very strikingmanner. The fibro-myomas are very liable to calcify. Thedeposit of earthy salts does not take place in an irregularmanner, but follows the disposition of the fibres, and


. Tumours, innocent and malignant; their clinical characters and appropriate treatment. subserous fibroid which had undergone extensive mucoiddegeneration. From a sterile married woman 37 years of age. microscopically resembles dense fibrous tissue, Avith here andthere strands of cells resembling unstriped muscle variety is often called fibro-myomas, and its mem-bers display the whorled arrangement in a very strikingmanner. The fibro-myomas are very liable to calcify. Thedeposit of earthy salts does not take place in an irregularmanner, but follows the disposition of the fibres, and the 182 CONNECTIVE-TISSUE TUMOUES whorled arrangement is seen when the sawn surface isexamined (Fig. 100). When incompletely calcified tnmomsare macerated, and the decayed tissue is washed away, the cal-careous matter remains as a coherent skeleton of the changes have taken place whilst the tumour remainedin the living uterus; they were formerly termed wombstones. OccasioDally, in old women the uterus attempts toextrude a calcified fibroid; when the tumour is large the. Fig. 99.—Minute structure of a young uterine fibroid; the circular cells arespindle cells cut at right angles. This figure represents a complete sectionthrough the equator of a seedling fibroid the size of a mustard-seed. result, if left to the efforts of nature, is as a rule extraction of such a tumour by art is difficult andtedious. When calcified fibroids have been found incoffins, in old burying-grounds, they have been mistakenfor vesical calculi. UTERINE FIBROIDS 183 The soft, jelly-like fibroids are, in the majority of cases, dueto secondary (myxomatous) changes in tumours which wereoriginally hard. This is proved by the fact that patches ofsoftening are found in hard tumours, and occasionally fibroidscome to hand in which the very hard, calcified, gelatinousand difiluent tissues co-exist. However, it is important toremember that these changes do not always depend on theage of


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19