. Tumours, innocent and malignant; their clinical characters and appropriate treatment. ment of the uterus. Thismuscle-tissue is occasionally thesource of tumours identical instructure with uterine the early stages these tu-mours are ovoid, encapsuled,and often bilateral; they do notcause much inconvenience untilthey attain the size of coco-nuts ; even then they can beeasily enucleated. They some-times grow with great rapidity,and in a few months formtumours weighing as much asten kilogrammes, and, risingout of the pelvis, carry the uterus and its appendages withthem. Some of the l


. Tumours, innocent and malignant; their clinical characters and appropriate treatment. ment of the uterus. Thismuscle-tissue is occasionally thesource of tumours identical instructure with uterine the early stages these tu-mours are ovoid, encapsuled,and often bilateral; they do notcause much inconvenience untilthey attain the size of coco-nuts ; even then they can beeasily enucleated. They some-times grow with great rapidity,and in a few months formtumours weighing as much asten kilogrammes, and, risingout of the pelvis, carry the uterus and its appendages withthem. Some of the large globular tumours of the mesometriumare spindle-celled sarcomas (see p. 57). Doran has describedsome interesting cases and collected the literature, and hepoints out that they have been observed as early as thetwentieth year. The majority occur, according to my ob-servation, after the thirty-fifth year. They are formidabletumours to deal with, but fortunately they enucleate largest specimen under my own care weighed thirteenkilogrammes and was successfully Fig. 95.—Diagi-am of a fibroidgrowing from the anterior wallof tlie cervix, showing its rela-tion to the peritoneum as itpasses from the anterior wall ofthe uterus to the bladder. FIBROIDS 111 Fibroids of the round ligament of the uterus.—Thisstructure, like the ovarian ligament, is practically a process ofthe muscular tissue of the uterus, and tumours in all respectslike the fibro-myomas of the uterus arise in this ligament,


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19