Gynaecology for students and practitioners . tructure which the endometrium undergoesas described above. Therefore, like the glandular variety, this so-called endometritis atrophicans must be excluded from the class oftrue chronic endometritis. It is quite common, however, for infectionto be grafted on to this condition, and when it occurs true senileendometritis results. The latter has already been described in thesection dealing with Infections (p. 251). Occasionally in this post-climacteric atrophy the surface-epithe-lium, and that lining the glands, undergoes metaplasia and becomes 404 GYN
Gynaecology for students and practitioners . tructure which the endometrium undergoesas described above. Therefore, like the glandular variety, this so-called endometritis atrophicans must be excluded from the class oftrue chronic endometritis. It is quite common, however, for infectionto be grafted on to this condition, and when it occurs true senileendometritis results. The latter has already been described in thesection dealing with Infections (p. 251). Occasionally in this post-climacteric atrophy the surface-epithe-lium, and that lining the glands, undergoes metaplasia and becomes 404 GYNECOLOGY squamous ; to this senile change the term leucoplakia uteri has beengiven, and it helps to account for the occasional occurrence ofsquamous-celled epithelioma in the body of the uterus. Simple Adenoma of the Endometrium. This condition will bedescribed under Benign Epithelial New Growths of the Uterus {seep, 496). Menstrual Exfoliation (exfoliative endometritis) has already beendescribed under Disorders of Menstruation {see p. 187).. Fig. 194. Showing the Changes which occur in the Endometrium IN Old Age. x 65. The surface-epithelium is desquamating, the glands are running obliquely to the surface, and their epithelium is degenerated. The stroma is very fibrotic, and the entiie endometrium is thin. CERVICAL ENDOMETRITIS : EROSION : NABOTHS FOLLICLES It has akeady been shown that the cervical endometrium differsessentially in its anatomical features from the endometrium of thebody of the uterus. Pathologically, and clinically also, the cervicalpart of the endometrium deserves special consideration. In spite ofthe continuity of the surface-epithelium at the internal os, the spreadof inflammation to the cavity of the uterus from the cervix is by nomeans invariable, and even when both body and cervix are involved,the effects may be much more marked in the latter than in the former. Macroscopically, cervical endometritis is evidenced by redness andswelling of the mucous memb
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
