Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . e voiding urine. The bowelswere constipated. The uterus was the size of a fourmonths pregnancv. On opening the abdomen, its appear-ance suggested a sarcoma involving the right uterine walls,and extending into the right broad ligament. The righttube and ovary were adherent to the pelvic floor. Therewere slight adhesions on the left ovary. The macroscopicappearances are illustrated in Figures 175 and 239, pages290 and 416. (i) The uterus, which is much enlarged, has been openedanterio
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . e voiding urine. The bowelswere constipated. The uterus was the size of a fourmonths pregnancv. On opening the abdomen, its appear-ance suggested a sarcoma involving the right uterine walls,and extending into the right broad ligament. The righttube and ovary were adherent to the pelvic floor. Therewere slight adhesions on the left ovary. The macroscopicappearances are illustrated in Figures 175 and 239, pages290 and 416. (i) The uterus, which is much enlarged, has been openedanteriorly. The vaginal portion of the cervix is considerably 41 6 ADENOMYOMA CHAP. thickened. The external os is dilated and the cervicalmucosa is more shaggy than usual. The anterior uterinewall is considerably thickened. Occupying the broadligament is a globular tumour, A. This has extendedthrough the uterine wall, and projects into, and completelyfills the uterine cavity. The submucous portion projectsfrom the posterior and right uterine w^all. It is smoothand glistening but lobulated, owing to the presence of. iS\f^ >. f^ ^^ # Fig. 239.—A cystic intraligamentary and partly submucous adenomyoma from section bb^ inFig. 175, page 290. (Reproduced from CuUens Fig. 44., page 152. By permission.) ^ = cross-section of left Fallopian tube 5 5 = small portion of uterine cavity ; C = submucous portionof growth; Z) = intraligamentary pole of growth; £ = irregular cyst; F=cyst filled with coagulatedcontents ; G = myomatous tissue. cysts, varying from i mm. to cm. or more in diameter,which project slightly from the surface. Over some ofthese the blood-vessels are slightly dilated. At one pointthe submucous myoma has been cut for a distance of2 cm. and we see the smooth inner surface of two appendages on the right are normal ; those on theleft are also normal, except for a band of adhesions betweenthe outer end of the tube and the ovary. Figure 239 re-presents a transverse
Size: 1397px × 1789px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
