. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Fig. 109.—Pregnant uterus clefoiined by fibroids; the largest grew in the neck of the uterus. women have lost their lives from this cause. Occasionally asubmucous fibroid may be extruded into the vagina duringdelivery, but this is rare. A subserous fibroid may becomecedematous, and when the uterus expels the foetus the tumourmay become septic and set up peritonitis, which may destroythe patient or lead to the formation of dangerous Degeneration of the fibroid.—This is an insidious 200 GONNEGTIV


. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Fig. 109.—Pregnant uterus clefoiined by fibroids; the largest grew in the neck of the uterus. women have lost their lives from this cause. Occasionally asubmucous fibroid may be extruded into the vagina duringdelivery, but this is rare. A subserous fibroid may becomecedematous, and when the uterus expels the foetus the tumourmay become septic and set up peritonitis, which may destroythe patient or lead to the formation of dangerous Degeneration of the fibroid.—This is an insidious 200 GONNEGTIVE-TISSTIE TUMOURS danger, and one which has not been fully appreciated byobstetricians, for it is a condition often associated with preg-. Fig. 110.—Gravid uterus in sagittal section. The patient miscarried at the seventhmonth, and the arm presented. Delivery heing impossible on account of a largecervical fibroid, the uterus with its cervix was removed. The cedema of thepresenting arm is well shown. {Museum of the RoyaJ CoUetje of Surt/eons.) nancy apart from septic infection, or from mechanical injurywhich the tumour may receive in the course of the gradual FIBROIDS AND PREGNANCY 201 enlargement of the uterus, or during its sudden diminutionafter delivery. Moreover, the change which pregnancyinduces in fibroids has interested me for many years, andI have been able to collect a large number of facts frompersonal observation.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19