Operative gynecology : . the1* fo j&sttM^?gfe ortfelgonum; thethird angle is at the internal urethral orifice. The trigonum is characterized by its increasedvascularity between these three points. The longitudinal vesical folds entering the urethralorifice are well shown. ears. ? The tumai Fig. 2.—Secondary carcinoma of (he bladder following carcinoma of the^rfi-xwi!Thecarcinoma appears in the form of rounded nodules in the bladder wall, mainly in the vicinityof the cervix. One small nodule is seen in the trigonal area. Note also the thickened wallsof the bladder. he a uuro-myonu,. a J id Henr


Operative gynecology : . the1* fo j&sttM^?gfe ortfelgonum; thethird angle is at the internal urethral orifice. The trigonum is characterized by its increasedvascularity between these three points. The longitudinal vesical folds entering the urethralorifice are well shown. ears. ? The tumai Fig. 2.—Secondary carcinoma of (he bladder following carcinoma of the^rfi-xwi!Thecarcinoma appears in the form of rounded nodules in the bladder wall, mainly in the vicinityof the cervix. One small nodule is seen in the trigonal area. Note also the thickened wallsof the bladder. he a uuro-myonu,. a J id Henri Hartmann in -Smal - Cystic Follicles. (ladder, du(or in groups, forming lii • t pea; 1 haOn touching a cyst with thennly trace which remhas been called, Cysts.—Dermoi that only one wellSurg. P0) som<iid at \hing. ely congested, and ion of the be inner surf. r scatteredtm. in si ?e of chronic <:; imediately esrom the ; often that Ortl here was ai mi eating with i PLATE Fig. 2. M. Brodel, fee TUMORS OF THE BLADDER. 473 Outside of these rare observations, cases have been recorded in which der-moid cysts outside of the bladder (see Sanger, Archiv f. Gynakol., 1879), orovarian dermoids, have discharged their contents into this organ, and hairshave escaped by the urethra (pilimiction). In the group of malignant tumors we find two types of tumors repre-sented—the epithelial type, the carcinomata, and the connective tissue type, thesarcomata. The most frequent are the carcinomata, and these are commonest inmen as primary tumors of the bladder, while in women they invade the bladderas secondary tumors extending from the uterus. Carcinoma.—The carcinomata consist of two kinds of tumors, the first madeup of the squamous and the second of the cylindrical celled epithelium; theyare characterized by a tendency to infiltrate the bladder walls and invade allsurrounding tissues. The tumors thus formed are usually multiple, and pro-ject into the


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1