The diseases of women : a handbook for students and practitioners . Fig. 60.—Intracervical myoma in sagittal section. they may attain gigantic proportions (twenty or even thirtykilogrammes). In texture they vary greatly. Some are as hard as 184 DISEASES OF WOMEN. cartilage; these contain a large proportion of fibrous tis-sue (fibro-myomata) and grow slowly. Some are as soft asa fatty tumor, and consist of large cells; these are veryvascular and grow rapidly. Some of these intramuralmyomata are so rich in blood-vessels that on section theylook not unlike cavernous naevi (Fig. 61). Such tumorsfu
The diseases of women : a handbook for students and practitioners . Fig. 60.—Intracervical myoma in sagittal section. they may attain gigantic proportions (twenty or even thirtykilogrammes). In texture they vary greatly. Some are as hard as 184 DISEASES OF WOMEN. cartilage; these contain a large proportion of fibrous tis-sue (fibro-myomata) and grow slowly. Some are as soft asa fatty tumor, and consist of large cells; these are veryvascular and grow rapidly. Some of these intramuralmyomata are so rich in blood-vessels that on section theylook not unlike cavernous naevi (Fig. 61). Such tumorsfurnish a loud venous hum on Fig. 6i.—A very vascular myoma in section (Virchow). Sometimes a myoma confined to one wall of the uteruswill appear as a simple tumor, but on section it will befound to consist of two or more tumors, each possessingits own capsule. 2. Submucous Myomata.—These tumors arise in thedeeper layers of the mucous membrane, and, as soon as theyattain an appreciable size, project into the uterine of them remain sessile, but the majority tend to be- DISEASES OF THE UTERUS. I85 come stalked, and are then termed polypi. Whether sessileor stalked, they are invested by the uterine mucous mem-brane. The presence of a myoma in the wall of the uterusor projecting into its cavity leads to great thickening of theuterine wall, accompanied by increased vascularity, which isoften manifested by menorrhagia and intermenstrual hemor-rhage—metrorrhagia. The pedicle of a submucous myoma may be long enoughto allow the tumor to be extruded into the vagina (Fig. 62),
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgen, booksubjectwomen
