. Operative gynecology. ec. 13, 1895) was cu-retted for uterine hemorrhages andan adeno-carcinoma found; as thebimanual examination showed thatthe body of the uterus was not en-larged while the cervix was great-ly thickened, the conclusion wasdrawn that the disease was local-ized in the cervix. On removingthe uterus, however, the funduswas found to be the seat of theneoplasm, while the cervix wasextraordinarily enlarged by a cys-tic degeneration extending fromthe internal to the external os, butnot visible from the vaginal side. The age at which this diseaseusually appears renders the patientu
. Operative gynecology. ec. 13, 1895) was cu-retted for uterine hemorrhages andan adeno-carcinoma found; as thebimanual examination showed thatthe body of the uterus was not en-larged while the cervix was great-ly thickened, the conclusion wasdrawn that the disease was local-ized in the cervix. On removingthe uterus, however, the funduswas found to be the seat of theneoplasm, while the cervix wasextraordinarily enlarged by a cys-tic degeneration extending fromthe internal to the external os, butnot visible from the vaginal side. The age at which this diseaseusually appears renders the patientunsusjjicious, for she attributes it to an irregularity of the menopause, or to areturn of the monthly pej-iods, as a sort of a rejuvenation. Pain, too, is apt to be a late symptom, and is sometimes entirely wantingthroughout the disease. The typical distress is a boring, bearing-down, tearingor stabbing pain, which is referred to the lumbar and sacral region, and radiatesdown the legs and forward into the lower Fui. 459.—Limited Akea of Carcinoma of the FundusOF THE Uterus on the Left Side. The cervix was greutly enlarged, and was tlioufchtfrom the bimanual examination to be the seat of the dis-ease, on account of the thickening due to numerous cystsin its substance, none of which were visible in the normalvaginal portion. San. Nov. 21, 1895. Natural size. DIAGNOSIS. 315 The watery discharge and leucorrhea are regular occurrences. The thinichorous, watery discharge is one of the most characteristic of all the signs of thedisease, and sometimes forms the only complaint. Later the discharge becomespurulent, or mnco-purulent, or sanguino-pnrulent, with an offensive odor, when,as a rule, the case is beyond operative interference. Cachexia and emaciation are not always present, but when found, especiallyin disease of the cervix, they are almost positive signs that the case is beyondrelief. Diagnosis.—The diagnosis of cancer of the uterus is made from the subjectivesymp
Size: 1316px × 1898px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
