. Operative gynecology. we are called upon totreat, and of the frequency of cancer of the uterus, it would be surprising ifthe one were not at times associated with the other. The liability of myomatousuteri to cancer is, however, manifestly lessened by the fact that the patient isoften sterile and the cervix is spared the traumata of parturition which affordan anatomical basis for the cancer. For the sake of conciseness I divide thesecases into three gi-oups : (1) Epithelioma of the cervix associated with myoma. (2) Adeno-carcinoma of the cervix and myoma. (3) Adeno-carcinoma of the body of t
. Operative gynecology. we are called upon totreat, and of the frequency of cancer of the uterus, it would be surprising ifthe one were not at times associated with the other. The liability of myomatousuteri to cancer is, however, manifestly lessened by the fact that the patient isoften sterile and the cervix is spared the traumata of parturition which affordan anatomical basis for the cancer. For the sake of conciseness I divide thesecases into three gi-oups : (1) Epithelioma of the cervix associated with myoma. (2) Adeno-carcinoma of the cervix and myoma. (3) Adeno-carcinoma of the body of the uterus with myoma. In a review of one hundred cases of caicinoma of the uterus, occurring inmy wards at the Johns Hopkins Hospital, eight cases were associated withmyomata, one case with epithelioma, one case with adeno-carcinoma of the cer-vix, and six cases with adeno-carcinoma of the body. In the patient with the epithelioma of the cervix the myoma was small andwas not discovered until after removal of the Fig. 503.—Myoma and Caucinoma in a Negkess. Showing the zones occupied by preference by the two forms of disease. The fundus is converted into amass of myomatous nodules while the entire lower segment of the uterus has been replaced by carcinomatousvegetations. There are metastases in the inguinal glands as lai^e as an egg. The disease e.\tends throughthe broad ligaments to the bladder; metastases also e.\ist in the mesenteric, retro-peritoneal, and bronchialglands, as well as in the lungs, pleura, and serosa of the intestines. There is an anemia of all the organ,s anda fatty degeneration of the liver. Ilydroureter. The myomata are not involved in the carcinomatous 926. Autopsy, March 29,1897. »/ natural size. COMPLICATIONS OF HYSTEEO-MTOMECTOMT. 381 In the adeno-carcinoma of the cervix there were multiple myomata scatteredthroughout the uterus. The majority of the cases, six out of eight, where thecarcinoma was present with myoma, were adeno-car
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