Gynecological diagnosis and pathology . Fir:. 100.—Chorionepithelioma of the Uterus (). The tumour is composed of two types of cells, large masses of nucleated protoplasm,the syncytium and isolated epithelial cells, Langhans cells. Note how thegrowth in the upper part of the section is eating into the muscular wall—thepaler part Fig. 101.—Chorionepithelioma of the view to show structure of syncytium and Langhans cells. 104 GYNECOLOGICAL PATHOLOGY Clinical Phenomena—Etiology.—The condition follows pregnancy,and especially pregnancy terminating in hydatid mole. It m
Gynecological diagnosis and pathology . Fir:. 100.—Chorionepithelioma of the Uterus (). The tumour is composed of two types of cells, large masses of nucleated protoplasm,the syncytium and isolated epithelial cells, Langhans cells. Note how thegrowth in the upper part of the section is eating into the muscular wall—thepaler part Fig. 101.—Chorionepithelioma of the view to show structure of syncytium and Langhans cells. 104 GYNECOLOGICAL PATHOLOGY Clinical Phenomena—Etiology.—The condition follows pregnancy,and especially pregnancy terminating in hydatid mole. It manifests itselfwithin a few weeks, but may be delayed for months. It was at one timethought that microscopic examination of the villi in hydatid mole wouldshow whether chorionepithelioma was likely to develop or not, but morerecent investigation has disproved this. The disease may also arise apartfrom pregnancy, and cases have been described in the male. In such theorigin is to be ascribed to rests. Symptoms.—The only symptom present in the early stages is uterinehemorrhage, which usually occurs suddenly, is profuse in amount, andrecurs frequently. Such hemorrhage occurring after the expulsion of ahydatid mole should always arouse suspicion, and an exploration of theinterior of the uterus with the ringer or curette should at
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
