Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fig. 31.—Showing a myoma of the anterior cervical wall which has reached large dimen-sions and elevated the peritoneum in front of the uterus. Such growths may betermed pseudo-cervical to distinguish them from the true interstitial variety. Theappendages encircle the tumour. The right ovary is missing. (After G. Schickele, Geb. u. Gvn., 1914, Band Ixxv. H. 3, Fig. ya, page 693.) Secondary nodules may sometimes arise from theperiphery of a true cervical myoma and project i


Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fig. 31.—Showing a myoma of the anterior cervical wall which has reached large dimen-sions and elevated the peritoneum in front of the uterus. Such growths may betermed pseudo-cervical to distinguish them from the true interstitial variety. Theappendages encircle the tumour. The right ovary is missing. (After G. Schickele, Geb. u. Gvn., 1914, Band Ixxv. H. 3, Fig. ya, page 693.) Secondary nodules may sometimes arise from theperiphery of a true cervical myoma and project into the PSEUDO-CERVICAL MYOMA 27 paracervical connective tissues (see Fig. 29). Such growthsare uncommon. Figures 31 and 32 show an unusual type of growths arise from the anterior wall of both cervix and. Fig. 32.—Myoma of the anterior wall of the corpus and cervix uteri (pseudo-cervical).There is no displacement of the uterine arteries. The uterus is opened from behind.(After G. Schickele, Geb. u. Gyn., 1914, Band Ixxv. H. 3, Fig. 8, page 694.) body ; consequently the lumen of the corpus as well as thatof the cervix is influenced by the tumours. Such growthsare ?iot true cervical myomas^ but they present the sameoperative difficulties (see Hysterectomy, page 495) asdo retroperitoneal growths confined entirely to the cervix. MYOMA CHAP. Schickele draws attention to the displacement of theuterine arteries in these growths (see Fig. 33). Thedisplacement of the large vessels occurs alike in growthswhich involve the anterior and those which spring


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative