Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . The patient was aged 44 years, Vl-para ;the last confinement took place ten years before : pain in the left abdomen and sacrum, increasedby exertion; chronic constipation, dysuria, leucorrhoea. ^ Archivf. Gyniik., 1911, Bd. xciii. S. 659. II ADENOMYOMA OF OVARIAN LIGAMENT 325 Examination : cystocele, prolapse of posterior vaginal normal in size, antellexed, semi-fixed anaesthesia, the uterus was found to be enlarged, andthere was a s
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . The patient was aged 44 years, Vl-para ;the last confinement took place ten years before : pain in the left abdomen and sacrum, increasedby exertion; chronic constipation, dysuria, leucorrhoea. ^ Archivf. Gyniik., 1911, Bd. xciii. S. 659. II ADENOMYOMA OF OVARIAN LIGAMENT 325 Examination : cystocele, prolapse of posterior vaginal normal in size, antellexed, semi-fixed anaesthesia, the uterus was found to be enlarged, andthere was a soft cystic tumour on the right side. The leftadnexa were free. There was an offensive uterine total extirpation with removal of the right-sidedcyst was carried out. Histology of Tumour.—It showed an irregular arrange-ment of glands invested by a matrix of smooth muscle ; the. Fig. 195.—Adenomyoma of the right ovarian ligament seen from behind.(After Sitzenfrey, Geb. u. Gyn., 1910, Bd. Ixvii.) peripheral glands were wide, the central narrow. Thegland-system coursed along the whole of the ligament andran parallel to its long axis (Fig. 196). A point of import-ance was the fact that the glands did not penetrate either uterusor ovary. There was a cytogenous mantle around the glands(Fig. 197). Frankl set himself the task of investigatingwhether this was a stationary or an actively growing process,and made a model by which he satisfied himself that it wasa wachsendes Drusennest. He then criticised both Meyersand Sitzenfreys cases and pronounced two out of three, at 326 EXTRAUTERINE ADENOMYOMA chap. least, to be definitely Wolffian. In discussing his own case,he says, the cytogenous mantle was of no diagnostic valuein determining the origin of these growths. The Origin of the Epit/ieiium in Adenomyoma of theOvarian Ligament.—According to Frankl t
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