. Cyclopædia of obstetrics and gynecology. broids, the statements of Eodering (1 c.) appear veryremarkable. This author mentions 24 instances of such degenerationoccurring in 570 cases of fibroid. But it does not appear from his de-scriptions whether these cases were supposed to be examples of transform-ation of fibroid tumors into cancer, or whether there Avas a mere associ-tion of distinct morbid processes. There is probably no unimpeachablecase on record of cancerous degeneration affecting a fibroid. But itshould be mentioned here that adenoma may lead to such a transformation,and further t
. Cyclopædia of obstetrics and gynecology. broids, the statements of Eodering (1 c.) appear veryremarkable. This author mentions 24 instances of such degenerationoccurring in 570 cases of fibroid. But it does not appear from his de-scriptions whether these cases were supposed to be examples of transform-ation of fibroid tumors into cancer, or whether there Avas a mere associ-tion of distinct morbid processes. There is probably no unimpeachablecase on record of cancerous degeneration affecting a fibroid. But itshould be mentioned here that adenoma may lead to such a transformation,and further that the mucous membrane in cases of fibromyoma may as-sume the character of a diffuse adenoma. As previously stated, the association of epithelioma of the cervix with Operative Gjnakologie, p. 246. GROWTH AND MORBID CHANGES. 199 fibromyoma of the uterus is not uncommon. In these cases the combinedaffection runs a course parallel to that of cancer pure and simple, the ad-ditional presence of a myoma being of very little account. In another. Fig. 17.—Fibroid of the Uterus, with Cancer up the Vaginal portion of the Cervix. Steno-sis of the internal os and dilatation of the Cavity of the Uterus, a, Cavity of the Uterus, b, Sub-serous Myoma. (Specimen of Dr. Wyder.) chapter, when we reach the subject of sarcoma, we will investigate thequestion, whether fibromata may become transformed into sarcomata, or,rather, to speak more exactly, whether the former may undergo sarco-1 matous degeneration. CHAPTER III. THE ETIOLOGY OF FIBROIDS OF THE UTERUS. ~VT7ITII regard to the causation of uterine fibroids we know as little^ ^ as we do about that of most pathological neoplasms, namelynothing. This dictum must be adhered to in spite of the ingenious rea-sonings of Virchow (Geschwiilste III. p. 150), and in spite of the carefuland interesting studies on this topic by Wiackel, which support the viewsof the former author. Virchow called attention to the irritative char-acter manifested in the
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