Treatise on gynæcology : medical and surgical . x-ternal ulcerated surface, the pavement epithelium, it is the product ofthe adjacent glands, and the interglandular substance between thedepressions assumes the appearance of stakes in a palisade, whencethe papillary aspect of the surface. So that when a bilateral lacera- THE PATHOLOGY AND ETIOLOGY OF METRITIS. 153 tion permits, by this new glandular formation, a large display exter-nally, the mucosa projects like a lining of crimson velvet in a is certain that laceration forms ulceration, but it is exaggerationto say, with Bouilly,30
Treatise on gynæcology : medical and surgical . x-ternal ulcerated surface, the pavement epithelium, it is the product ofthe adjacent glands, and the interglandular substance between thedepressions assumes the appearance of stakes in a palisade, whencethe papillary aspect of the surface. So that when a bilateral lacera- THE PATHOLOGY AND ETIOLOGY OF METRITIS. 153 tion permits, by this new glandular formation, a large display exter-nally, the mucosa projects like a lining of crimson velvet in a is certain that laceration forms ulceration, but it is exaggerationto say, with Bouilly,30 that there is no true ulceration without lacera-tion due to child-birth. At other times the glands become cysticand form little projections on the bottom of the ulcerated [eroded]surface, which thus has the so-called follicular appearance (moreevident in section than to direct inspection31) (Fig. 105, c). Thesecysts may form a semi-detached mass on the surface of the part, asmucous polypi (Fig. 110). They are small, of a red color, semi-trans-. Fig. 110.—Mucous Polypi from the Interior of the Cervix,and upon the Surface, fromFollicular Hypertrophy parent or purplish, hanging by pedicles more or less free in the cav-ity, and projecting from the external os; in general resembling themucous polypi of the nose, only far more vascular. (It is a mistaketo describe mucous polypi of the uterus in a separate chapter, sincepathologically, clinically, and therapeutically, they belong to hem-orrhagic ) When this cystic transformation of the glandstakes place throughout the cervix, it can produce, by penetratingand dilating its substance, an elongation by follicular hypertrophy(Fig. 109, a). Finally, the glandular vegetation and the cystic for-mation may produce within the cavity of a partly-opened cervix smallvesicular projections whijh I compare to an almond (Fig. 109, b). The 154 CLINICAL AND OPERATIVE GYNAECOLOGY. theory of Huge and Veit, true in most of these cases, is no
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