. Clinical gyncology, medical and surgical. corporeal endometrium, buteven this occurs less often than one would suppose, —according to Kiwisch,in one-fourth of the cases of diseases of the uterine body. Orthmann hascollected only four cases in which it extended from the ovary to the a few years ago the possibility of the development of primary epi-thelioma of the tubal mucosa was denied, but now at least five authentic cases have been reported. Thefr^ development of the disease and the consequent enlargement ofthe tube result in an appearancesimilar to that observed in ade-noma. Th
. Clinical gyncology, medical and surgical. corporeal endometrium, buteven this occurs less often than one would suppose, —according to Kiwisch,in one-fourth of the cases of diseases of the uterine body. Orthmann hascollected only four cases in which it extended from the ovary to the a few years ago the possibility of the development of primary epi-thelioma of the tubal mucosa was denied, but now at least five authentic cases have been reported. Thefr^ development of the disease and the consequent enlargement ofthe tube result in an appearancesimilar to that observed in ade-noma. The histological appearances Carcinoma of right tube and ovary— a. cancerous nod- are identical with those of epi-ules in ovary; b, b, nodules in tube. (Winekel.) , ,. « ,<? -, i thehoma of the corporeal endo- metrium. According to Henning, medullary cancer may develop in thesubmueosa or beneath the peritoneum and may extend to the musculartissue. He doubtless refers to secondary nodules, such as those figured byWinekel. (Fig. 44.). NEOPLASMS OF THE OVARIES, TUBES, AND BROAD LIGAMENTS. 731 Sarcoma.—Primary sarcoma of the tube is still more rare than cancer,not over three or four authentic cases having been thus far recorded. ASpecimen presented by Dr. J. E. Janvrin to the New York ObstetricalSociety was thus described by the pathologist: The general histologicalconstruction of this newly-developed tissue would argue against its beingclassified as an inflammatory growth, but woidd place it among the mixedconnective-tissue growths. Owing to the large variety of histological ele-ments found, it is impossible to give it any single name which will in anyadequate manner express the condition. It may well be classed under oneof two headings,—either as a composite fibro-sarcoma or a composite myxo-sarcoma, the latter being the more accurate of the two. Symptoms nml Diagnosis.—It may be stated that in all the cases ofneoplasms of the tube above described the true condition w
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