Gynaecology for students and practitioners . ells, are this colliquative necrosis, gland-like spaces lined by many layers ofepithelium are produced, but the cells lining such spaces always preservetheir squamous characters. Such a condition superficially resembles,but should not be regarded as, adeno-carcinoma. Near the cancer-areas, the stroma often shows a certain amount ofround-celled infiltration and oedema, and the cancer-cells may be seenescaping into, and invading, the connective tissues. In the more CANCER OF THE CERVIX 523 advanced portions of the growth the fibromuscular stro
Gynaecology for students and practitioners . ells, are this colliquative necrosis, gland-like spaces lined by many layers ofepithelium are produced, but the cells lining such spaces always preservetheir squamous characters. Such a condition superficially resembles,but should not be regarded as, adeno-carcinoma. Near the cancer-areas, the stroma often shows a certain amount ofround-celled infiltration and oedema, and the cancer-cells may be seenescaping into, and invading, the connective tissues. In the more CANCER OF THE CERVIX 523 advanced portions of the growth the fibromuscular stroma is notseen ; the cancer-cells become more widely disseminated and penetratethe surrounding tissues, destroying them in their advance, so that largeareas of the growth consist of little else but masses of parts of the tumour are prone to ulceration ; the characteristicappearances are then lost, and an extensive zone of round-celled infiltra-tion is found around them {see Fig. 275). The surface of a squamous- /W?/?///,/.. ^^^^^te^^ Fig. 274. Squamous-celled Cancer of the Cervix. Multipara, aged section is made through the edge of the growth. At a are seen twoepithelial processes, one in cross-section, the other running up to the surface. celled cancer usually displays these modifications, except at the edges,where the appearances remain characteristic. Here it is often seenthat the cancer has penetrated the stroma beyond the apparent edgeof the growth, passing into parts which are still covered by normalepithelium {see Fig. 275). Figure 276 illustrates another microscopic feature of a squamous-celled cancer. This change is rarer than the one previously described,in which liquefaction of cancer-cells resulted in a pseudo-glandularappearance. In this instance the cancer has arisen from an erosion,and the downgrowths show glandular formation which has led tothis type of epithelioma being regarded erroneously as an adeno-carcinoma. The epithelium of the s
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
