. The diagnosis and treatment of diseases of women. us. (Bishop—Uterine Fibro- of outward, and may come in time to lie beneath the endometrium, where it isknown as a submucous fibroid (Figs. 605, 357). Submucous fibroids compriseabout 10 to 15 per cent of the cases. The submucous fibroid may project farther and farther into the uterine cavity,until it is attached to the uterine wall only by a narrow pedicle (pediculated sub=mucous fibroid—Figs. 309, 325). A pediculated submucous fibroid may be forcedout into the vagina while still attached to the uterine wall (Figs. 308, 309) andmay in this wa
. The diagnosis and treatment of diseases of women. us. (Bishop—Uterine Fibro- of outward, and may come in time to lie beneath the endometrium, where it isknown as a submucous fibroid (Figs. 605, 357). Submucous fibroids compriseabout 10 to 15 per cent of the cases. The submucous fibroid may project farther and farther into the uterine cavity,until it is attached to the uterine wall only by a narrow pedicle (pediculated sub=mucous fibroid—Figs. 309, 325). A pediculated submucous fibroid may be forcedout into the vagina while still attached to the uterine wall (Figs. 308, 309) andmay in this way cause partial or complete inversion of the uterus (Figs. 315, 325),a fact that must be kept in mind when removing such a growth by operation. Some fibroids, especially the adenomata, are without a distinct limiting cap-sule. The tumor tissue blends directly with the uterine wall (Fig. 608). Sucha tumor is called a diffuse fibroid. It may occupy only a small area or may extendall the way around the uterine cavity. 628 FIBROMYOMA OF THE UTERUS. Fig. 608. A Diffuse Adeno-myoma of tlie Uterus.(Bland-Sutton—Hysterectomy.) Most fibroids are found in the bodyof the uterus, as indicated in thevarious iUustrations. In a certain, proportion of cases,the fibroid is situated in the found in a series of500 cases, that 5% were cervix fib-roids. Tliese are more often single,and rarely project into the cavity,as the cervical cavity is small. Theyare usually comparatively small,but sometimes reach a size of 8 Secondary Changes. Undercomposition is given the primarystructure of the various forms offibromyoma. In many cases thereare found secondary changes in thetumor structure. These changes areedema, myxomatous degeneration,necrobiosis, necrosis, suppuration,cystic degeneration, calcification,malignant degeneration and other rarer changes (atrophy, fatty degeneration,amyloid degeneration). The relative frequency with which the more importantof these secondary
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