Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . part was seen a dilated gland-tubulelined by low cubical epithelium and completely surroundedby large decidual cells in three or four layers only. It wasconcluded that the clefts seen in the large masses of de-cidual cells were similar tubules, the epithelium of whichhad been compressed into the thin lamina by the pressureof the surrounding mass of decidual cells. The histologi-cal features were those of an adenomyoma, but the stroma-cells surrounding the gland-tubules had undergone
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . part was seen a dilated gland-tubulelined by low cubical epithelium and completely surroundedby large decidual cells in three or four layers only. It wasconcluded that the clefts seen in the large masses of de-cidual cells were similar tubules, the epithelium of whichhad been compressed into the thin lamina by the pressureof the surrounding mass of decidual cells. The histologi-cal features were those of an adenomyoma, but the stroma-cells surrounding the gland-tubules had undergone decidualreaction (see Figs. 215 and 216). The speaker stated that OF THE RECTO-GENITAL SPACE 363 this decidual change supported the view that extra- as wellas intrauterine adenomyomas were of Miillerian origin, andhe remarked that the notable diminution of the hydramniosmight be only a coincidence ; it certainly followed theapplication of radium. Cases 40-41. Archibald Leitch ^ commented upontwo cases of septal adenomyoma in an able paper written togive expression to the view that extrauterine adenomyomas. l>iiff^^^S^^^^Ii Fig. 215.—Adenomyoma of the recto-genital space adherent to the pregnant uterus. Sectionshowing the structure of a portion of the growth which was removed from theposterior vaginal fornix. (Reproduced from Proc. Roy. Soc. Med. {Obstet. and Gyn. Sect.)July 1914, page 390. By permission of W. S. A. Griffith.) vi = vaginal wall ; 5=cytogenous tissue which has undergone decidual change. This surrounds anddistorts a cystic space which is lined by flattened epithelial cells and is obviously a dilated gland-tubule. are instances of migrfltion by a process of extrusion. Theauthors words are : Contraction of the connective tissue andperhaps also the endeavours ot the uterine muscle to expelthe growth would account for the separation of the tumourtrom its endometrial connection. Finally they [adeno-myomas] may make their way into the broad ligaments oreven into t
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
