Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . polypus, it isundoubtedly a neoplasm. Its stroma consists of connectivetissue and muscle, and in this are seen gland-spaces. Thelatter are tubules resembling those of the endometrium,but they are not surrounded by endometrial-like stroma,which differentiates them from the gland-structures seen indiffuse adenomyoma. Except for this distinction it wouldbe convenient to class these growths with adenomvomas,of which they would constitute a polypoid form. The uterus from which the polypu
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . polypus, it isundoubtedly a neoplasm. Its stroma consists of connectivetissue and muscle, and in this are seen gland-spaces. Thelatter are tubules resembling those of the endometrium,but they are not surrounded by endometrial-like stroma,which differentiates them from the gland-structures seen indiffuse adenomyoma. Except for this distinction it wouldbe convenient to class these growths with adenomvomas,of which they would constitute a polypoid form. The uterus from which the polypus seen in Figure 106was removed, together with the history of the case, wassent to me by C. Hamilton Whiteford of Plymouth. In February 1912, the patient, a nullipara, aged 52 years,extruded from the cervix a black stinking fibroid, 2 inches indiameter, which was removed. The endometrium was smooth, the Plate XXIX Fig. io6 Figure io6. Showing the naked eye appearance and microscopiccharacters of an adeniferous myomatous polypus. It is oneof the many polypi shown in Figure 21, page 18.|- in. obj. 2 FiGDRE 107. Showing adenocarcinoma of the corporeal endometriumoverlying a portion of a myoma which showed hyaline degeneration. X4 To FACE PAGE 95 V TUBERCLE AXD CAXXER 95 uterine cavity measured ^^ inches, many myomas were telt in theuterine walls. In July (1912) a similar myoma became extrudedand was removed. The endometrium, which five months previouslywas smooth, was now found to be covered with polypi—yellow,soft and gelatinous, similar to those of the nose ; the largest polypiwere 2 inches in length. A handful of these soft growths wasremoved with sponge-holding forceps. The cervical mucosa wasnot polypoid. Hvsterectomy followed a month later (August 191 2). After receiving the specimen, I removed the polypuswhich is seen in Figure 106, Plate XXIX.; and those seenin Figure 21, page 18, form the remaining product (accord-ing to the history) of one months growth. Vub
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