Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . of secondary changes, infection, and malignancy,to say nothing of topographical complexities and multipleconformations, so as to surpass all other growths in diversityof symptoms and physical signs. B. Cervical Myoma (i) Interstitial.—True cervical myomas are compara-tively rare. The majority of so-called cervix myomasare corporeal tumours which have invaded the cervixby their growth, e.^. Figure 152 ; they may then becomeincorporated with one or other wall of the cervix anddeflect
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . of secondary changes, infection, and malignancy,to say nothing of topographical complexities and multipleconformations, so as to surpass all other growths in diversityof symptoms and physical signs. B. Cervical Myoma (i) Interstitial.—True cervical myomas are compara-tively rare. The majority of so-called cervix myomasare corporeal tumours which have invaded the cervixby their growth, e.^. Figure 152 ; they may then becomeincorporated with one or other wall of the cervix anddeflect the axis of the latter, but, with the exception ofsubmucous growths, they do not cause expansion of themuscle-layers of the neck of the womb. Corporeal tumourswhich grow downwards may descend to a lower level thanthe cervix itself, so that the convexity of the growth canbe felt before the external os is reached by the examiningfinger, as the above figure shows. This is not a point ofdiagnostic value, because the same applies to a true cervicalmyoma, the clinical peculiarities of which are as follows :—. Fig. 152.—Showing a tumour which combined some of the characteristics of a cervical and of a corporealmyoma. It is not a true cervical myoma. A probe is inserted in the cervicalcanal. 207 2o8 DIAGNOSIS OF UTERINE MYOMA chap. (i) A true cervical myoma, one which arises in the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
