Gynaecology for students and practitioners . Fig 214. Sessile Submucous Fibroid Tumour (Charing Cross Hospital Museum).Nullipara, aged 51. The tumour is globular in shape and completely fills up the en-- larged uterine cavity. ANATOMY OF FIBROID TUMOURS 435 the natural course of events to become polypoid. By encroachmentupon the uterine cavity they act as foreign bodies in increasing thenormal contractions of menstruation, or actually in exciting contrac-tions in the intermenstrual periods, the effect of which is still further 5UBPERIT0HEALFIBROID 5E55ILE SUBMUCOUS FIBROIDS. PEDICULATEDSUBMUCO
Gynaecology for students and practitioners . Fig 214. Sessile Submucous Fibroid Tumour (Charing Cross Hospital Museum).Nullipara, aged 51. The tumour is globular in shape and completely fills up the en-- larged uterine cavity. ANATOMY OF FIBROID TUMOURS 435 the natural course of events to become polypoid. By encroachmentupon the uterine cavity they act as foreign bodies in increasing thenormal contractions of menstruation, or actually in exciting contrac-tions in the intermenstrual periods, the effect of which is still further 5UBPERIT0HEALFIBROID 5E55ILE SUBMUCOUS FIBROIDS. PEDICULATEDSUBMUCOUS FIBROIDS Fig. 215. Uterus containing an unusually large number of Sub-mucous Fibroid Tumours, some Sessile, others Polypoid. Nullipara,aged 38. The endometrium is seen to be enormously thickened. to extrude the tumour until it becomes polypoid. Fibroids whichprotrude upon the peritoneal aspect do not produce this effect. Sub-mucous fibroids are often solitary, when they symmetrically enlargethe uterus and distend its cavity, which they fill up like a cast (so-called cup-and-ball fibroid) (see Fig. 214). They are, however,sometimes multiple, and in such cases various phases of the process of 436 GYNECOLOGY extrusion may be met with in a single uterus, some being still partlyembedded in the musculature, others completely submucous butsessile, others definitely polypoid {see Fig. 215). Very occasionally theyare so numerous and so crowded together in the uterine cavity as tobecome polygonal from mutual pressure, like faceted calculi in thegall-bladder {see Fig. 216).
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
