. Gynecology : . on it is always advisable in this operationto search the canal with placenta forceps. CANCER OF THE CERVIX Cancer starting in the cervix of the uterus must be studiously differentiatedfrom that which originates in the body. The two forms are quite distinct,both histologically and clinically, a fact which serves still further to emphasize NEW GROWTHS 335 that the cervix and body of the uterus are to be regarded as two independentorgans that differ widely from each other in their pathologic and physiologicprocesses. Pathology,—Cancer of the cervix when it comes under observation
. Gynecology : . on it is always advisable in this operationto search the canal with placenta forceps. CANCER OF THE CERVIX Cancer starting in the cervix of the uterus must be studiously differentiatedfrom that which originates in the body. The two forms are quite distinct,both histologically and clinically, a fact which serves still further to emphasize NEW GROWTHS 335 that the cervix and body of the uterus are to be regarded as two independentorgans that differ widely from each other in their pathologic and physiologicprocesses. Pathology,—Cancer of the cervix when it comes under observation usuallyappears as a squamous-cell carcinoma. In its incipiency, however, the growthpresents certain differences, according to the particular part of the cervix inwhich the disease has its origin. It is necessary to remember that the epi-thelium of the cervix is divided into two parts, that which covers the vaginalportion and that which extends from the external to the internal os, the so-called ;<v<\cer-. 1 Vc\q>vr\.< Fig. 103.—Everting Cancee of the this case the disease has originated in the posterior lip of the portio and is growing in cauli-flower-like masses toward the vagina. There is only moderate invasion of the cervical wall. It canreadily be seen that this form is less treacherous than the inverting type. endocervix. The epithelium covering the vaginal portion is really modifiedepidermis, and consists of layers of squamous cells like those of the skin, butwithout hair-follicles, sebaceous or sweat glands. The squamous epithelialcells just above the external os merge into true mucous cells, which line thesurface both of the endocervix and the arborescent glands that branch fromthe endocervix. In a nulliparous woman under normal conditions the endocervixis entirely concealed and well protected by the contour of the vaginal the cervix has been lacerated the endocervix tends to evert, and appearsredder and more roughened than the sq
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Keywords: ., bookcentury1900, bookdec, booksubjectgynecology, booksubjectwomen
