. Gynecology : . Fig. 99.—Grape Sarcoma, or Sarcoma vagina is seen crowded with grape-like masses of the growth. (Copied from adrawing in Kiistners Handbuch.) 330 GYNECOLOGY which muscle cells and sarcoma cells are mixed), spindle-cell sarcoma, and round-cell sarcoma. The cells may be of all kinds and sizes. Sarcomata of the endo-metrium are chiefly characterized by round cells. The latter type of sarcoma (especially the diffuse kind) is sometimes differen-tiated with difficulty from adenocarcinoma of the body, which in the advancedstages loses its glandular characteristics, th
. Gynecology : . Fig. 99.—Grape Sarcoma, or Sarcoma vagina is seen crowded with grape-like masses of the growth. (Copied from adrawing in Kiistners Handbuch.) 330 GYNECOLOGY which muscle cells and sarcoma cells are mixed), spindle-cell sarcoma, and round-cell sarcoma. The cells may be of all kinds and sizes. Sarcomata of the endo-metrium are chiefly characterized by round cells. The latter type of sarcoma (especially the diffuse kind) is sometimes differen-tiated with difficulty from adenocarcinoma of the body, which in the advancedstages loses its glandular characteristics, the appearance and arrangement ofthe cells appearing quite similar to round-cell sarcoma. On the other hand,the cells of diffuse sarcoma of the endometrium may assume an alveolar. Fig. 100.—Sarcoma of the power. This drawing shows the sharp line of demarcation between the growth on theleft and the cervical stroma on the right. The latter consists of connective tissue with a fewbundles of muscle scattered through it. The former consists of a homogeneous mass of cells verynearly the same size, having circular vesicular nuclei. There is very little stroma between themasses, and they are traversed by a fine network of capillaries, as can be seen in the drawing. Inthe center is a blood-vessel running into the tumor tissue from the cervical stroma. arrangement which closely resembles an adenocarcinoma. This is sometimescalled adenosarcoma. In some cases there is a rich development of blood-vessels or lymph elements, and the tumors are termed angiosarcoma orlymphosarcoma. Melanosarcoma of the uterus has been described. Cysticdegeneration of the tumors has led to the designation cystic sarcoma. It is possible for sarcoma and carcinoma to coexist in the sam
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