. Clinical gyncology, medical and surgical. dergo cystic degeneration, and then producewhat older gynaecologists have erroneously termed ovule- of Naboth. hympho-Adenvma.—Tins name I propose for a morbid process in themucosa of the uterus hitherto but little understood, and frequently mistakenfor fimgousor glandular endometritis. The so-called fungous endometritis,like any other inflammatory process, is confined to the interstitial lymph 590 BENIGN NEOPLASMS OF THE UTERUS. tissue, and at the utmost may lead to an enlargement of the utricular glandswith a simultaneous widening of their calibres
. Clinical gyncology, medical and surgical. dergo cystic degeneration, and then producewhat older gynaecologists have erroneously termed ovule- of Naboth. hympho-Adenvma.—Tins name I propose for a morbid process in themucosa of the uterus hitherto but little understood, and frequently mistakenfor fimgousor glandular endometritis. The so-called fungous endometritis,like any other inflammatory process, is confined to the interstitial lymph 590 BENIGN NEOPLASMS OF THE UTERUS. tissue, and at the utmost may lead to an enlargement of the utricular glandswith a simultaneous widening of their calibres. No pathologist will admit that an inflammatory process will cause anew formation of glandular structures; yet we frequently meet, in fungousendometritis, with a large number of utricular glands, freely bifurcatingand exhibiting alternate widening and constriction of the tubules. Such acondition cannot be simply the result of inflammation, but must be con-sidered as a neoplasm; and since both elements of the uterine mucosa, the Fia. Lympho-adenoma of uterine mucosa, X 500.—.E, empty space of utricular gland; U, V, newly-formed utricular glands with wide calibres; L, L, lymph-tissue; X, normal utricular gland in transversesection. lymphatic as well as the glandular tissue, are noticeably augmented in bulkand increased in size, the term lympho-adenoma becomes applicable. Al-though other writers speak of a benign adenoma (Huge, Veit, Pozzi, andothers), no sufficient differentiation has as yet been attempted between asimple inflammatory process and a new formation of tissue. The term fungous endometritis is, in my opinion, applicable only to aslight nodular thickening of the mucosa, in which the microscope revealsa considerable increase in lymph-corpi:scles, but no augmentation of the BEXIGX NEOPLASMS OF THE UTERUS. 591 utricular lauds. At most sonic of the tubules may exhibit moderatewidening of their calibres. Lympho-adenoma, on the contrary, will pro-duce nodulated pro
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