Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fig. 186.—Section of the lining membrane of the left-sided fundal cyst (i cm. in thick-ness). It was considered to belong to the left round ligament. (After Semmelink andde Joselin de Jong, Geb. tt. Gy>i., 1905, Bd. xxii. S. 240.) found recorded under Cystic Adenomyoma (see page 399).In this section is to be mentioned the fact that the rightround ligament in this specimen contained an adenomyomawith a cyst in its centre. The lining of this cyst was com-posed of tiss
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fig. 186.—Section of the lining membrane of the left-sided fundal cyst (i cm. in thick-ness). It was considered to belong to the left round ligament. (After Semmelink andde Joselin de Jong, Geb. tt. Gy>i., 1905, Bd. xxii. S. 240.) found recorded under Cystic Adenomyoma (see page 399).In this section is to be mentioned the fact that the rightround ligament in this specimen contained an adenomyomawith a cyst in its centre. The lining of this cyst was com-posed of tissue resembling uterine mucous membrane (seeFig. 186). The authors point out differences in the micro-scopic characters between this gland-tissue and that of thenormal mucous membrane of the uterus. Thev found that 3i6 EXTRAUTERINE ADENOMYOMA chap. the glands differed in their greater width, absence of basalmembrane, and more irregular form. My own opinion isthat if Mallorys or Schriddes stains had been used thebasal membrane would have been demonstrated ; and no. Fig. 187.—Cystic adenomyoma of the left side of the fundus uteri and cystic adenomyomaof the right ligamentum rotundum. (After Semmelink and de Joselin de Jong, ) ^ = cystic tumour of the left side of fundus uteri ; 5 = left tube ; C = ieft cystic ovary ; £) = adeno-myomatous node between corpus uteri and cervix; A=right tube; F=right cystic ovary; G = rightround ligament; H—cysX. of right round ligament; /=solid round myoma in the fundus uteri;Ar= fundus uteri. value can be attributed to the size and shape of the glandsas points of distinction from those of the uterine I quite agree with the authors that this round-ligament tumour did not arise from the uterine mucousmembrane. II ADENOMYOMA OF ROUND LIGAMENT 317 They point out that von Recklinghausens essentialmorphological features were wanting, there were nopseudo-glomeruli, no pectinate gland-formation, and no Penpkery ofround l
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