Transactions of the American Association of Obstetricians and Gynecologists for the year ... . lly near the fundus and pro-jecting into the canal there are considerable bosselated massesof tissue the surface of which is yellowish-gray, smooth, and soft,almost gelatinous. This tissue and that already described of thecervix terminate quite abruptly at the upper and lower marginsof an extensive tumor mass which involves the lower two-thirds ADENOCARCINOMA AND SARCOMA. 467 of the body. This tumor, pyriform in shape with stem towardthe fundus, springs from the posterior wall, all of which, expect8
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . lly near the fundus and pro-jecting into the canal there are considerable bosselated massesof tissue the surface of which is yellowish-gray, smooth, and soft,almost gelatinous. This tissue and that already described of thecervix terminate quite abruptly at the upper and lower marginsof an extensive tumor mass which involves the lower two-thirds ADENOCARCINOMA AND SARCOMA. 467 of the body. This tumor, pyriform in shape with stem towardthe fundus, springs from the posterior wall, all of which, expect8 mm. at the surface, is included in the growth. It extends for-ward involving the anterior wall, occluding the uterine canalat a point 30 mm. from the fundus. The cut surface varies inappearance and texture. The lower, central portion is necroticand sloughing and much of the substance has been removed withthe curette. The intact portion is smooth throughout and soft,centrally yellowish-red to pale yellow shading gradually to theouter border where it is almost white and the tissue firmer and. Fig. 2.—Posterior lip of cervix. Section taken at A (Fig. 1), X 100. Generalstructure and arrangement of neoplasm. The stroma is more abundant in thisfield than in the balance of the section. of fibrous consistency. The ovaries and tubes are not remark-able. Tissue taken for section from twelve different areas,balance of specimen preserved in Kaiserling. MICROSCOPIC EXAMINATION. Cervix.—The surface is quite destitute of superficial epithe-lium. A scanty connective-tissue stroma is honeycombed withlarge, tortuous glands that involve nearly the entire substance 468 ARTHUR T. JONES. of the wall. The glands are lined with cylindrical epitheliumof medium height that are usually present in reduplicated processes consisting of large masses of epitheliumclustered about a delicate central stalk projecting into the lumenare of common occurrence. Many of the acini present scattered
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Keywords: ., bo, bookcentury1900, booksubjectgynecology, booksubjectobstetrics
