. The diagnosis of diseases of women . y of endometritis complicatingpregnancy as compared to the relative infrequency of hydatiformmole, it is not likely that any direct relationship between the twolesions can be established. It would be difficult to determinewhether the changes in the endometrium are primary or secondaryto the development of the mole. Again, the histological changesin the endometrium associated with hydatiform mole are by no 176 SPECIAL DIAGNOSIS means constant. It has been suggested by Baumgart, Marchand,Kaltenbach, Krentzmann, Runge, Fraenkel, and others that thetendency t
. The diagnosis of diseases of women . y of endometritis complicatingpregnancy as compared to the relative infrequency of hydatiformmole, it is not likely that any direct relationship between the twolesions can be established. It would be difficult to determinewhether the changes in the endometrium are primary or secondaryto the development of the mole. Again, the histological changesin the endometrium associated with hydatiform mole are by no 176 SPECIAL DIAGNOSIS means constant. It has been suggested by Baumgart, Marchand,Kaltenbach, Krentzmann, Runge, Fraenkel, and others that thetendency to cystic degeneration of the ovum may be referred tocystic degeneration of the ovaries. Each of the above-namedauthors has reported a case of hydatiform mole comphcated bycysts of the ovary, and in a single case there was also a cystic my second case both ovaries were cystic, each about the sizeof a mans fist. In 210 recorded cases tabulated by the author inonly 8 were cystic ovaries recorded. The number of abdominal Fig. 53. Section of the uterine musculature, decidua, and mole. X 4. incisions made in these cases is few—a fact which possibly accountsfor the above statistics. On the other hand, cystic degeneration ofthe ovaries is so commonly observed as compared with hydatiformmole that it is not likely that they stand in the relation of causeand effect. Fraenkel advances the theory that the distended folliclespress upon the corpus luteum of pregnancy and so interfere withsecretion as to bring about these changes in the fetal theory is based upon the assertion made by Fraenkel that thecorpus luteum is a secreting gland and that the secretions govern DIAGNOSIS OF HYDATIFOBM MOLE 177 menstruation, together with the embedding and development ofthe ovum. Matwejew and Sykow reported in the Gynecological Society ofMoscow a case of tubal pregnancy in which the placenta had under-gone cystic degeneration, and the ovary was likewise cystic. Thepatient was aged
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