Gynaecology for students and practitioners . Fig. 231. Cancer of the Cervix associated with Fibroid Tumour ofTHE Body of the Uterus. Patient cut. 49. inasmuch as the treatment frequently comes under the notice of thegynaecologist, a short resume is here given. Treatment. Pregnancy should be allowed to continue until term,unless (1) severe complications due to the tumour arise, or (2) thetumour is so situated as inevitably to cause insuperable obstructionduring labour. In the former case the offending tumour should, if FIBROIDS AND PREGNANCY 461 possible, be removed by myomectomy and the uterus
Gynaecology for students and practitioners . Fig. 231. Cancer of the Cervix associated with Fibroid Tumour ofTHE Body of the Uterus. Patient cut. 49. inasmuch as the treatment frequently comes under the notice of thegynaecologist, a short resume is here given. Treatment. Pregnancy should be allowed to continue until term,unless (1) severe complications due to the tumour arise, or (2) thetumour is so situated as inevitably to cause insuperable obstructionduring labour. In the former case the offending tumour should, if FIBROIDS AND PREGNANCY 461 possible, be removed by myomectomy and the uterus allowed toremain. Even with improved modern technique this operation isattended with considerable risk of abortion, for Devine has recentlycollected 130 cases with an abortion rate of 23 per cent. It is often. Fig. 232. Cancer of the Body of the Uterus assoclited with Multiple FiBROMYOMATA. The cancerous process had invaded some of the submucous fibroid nodules. Patient cet. 54. difficult to decide during pregnancy whether a fibroid tumour willcause obstruction in labour or not. If the fibroid is cervical, seriousobstruction cannot be avoided. If it is corporeal and does notinvolve the lower part of the body, the probability is that it will are many, however, intermediate in position, the effect of whichon labour is doubtful. In many instances tumours apparently involvingthe lower uterine segment will become drawn up during labour, so asto clear the pelvic brim and allow of the passage of the child. Whenobstruction in labour can be foretold with certainty or even with 462 GYNAECOLOGY probability it is better to deliver by Csesarean section than to allowthe patient to run the serious risk associated with labour. With thisoperation may be combined (a) myomectomy [Ccesarean myomectom
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
