Gynecological diagnosis and pathology . iHHAKIC glandular increase and blood extravasation in stroma. walls may be somewhat thickened as in fibrosis uteri. These changesresult in an increased thickness of the mucous membrane, and tothe naked eye it looks more vascular and spongy. In some cases thethickening is so great as to take the form of velvety projections verylike those present in a carcinoma of the endometrium (tig. 8-t). From the description given, it will be seen that this process is moreof the nature of new growth than inflammation. It is really a simpleadenoma. So
Gynecological diagnosis and pathology . iHHAKIC glandular increase and blood extravasation in stroma. walls may be somewhat thickened as in fibrosis uteri. These changesresult in an increased thickness of the mucous membrane, and tothe naked eye it looks more vascular and spongy. In some cases thethickening is so great as to take the form of velvety projections verylike those present in a carcinoma of the endometrium (tig. 8-t). From the description given, it will be seen that this process is moreof the nature of new growth than inflammation. It is really a simpleadenoma. Sometimes the process remains localised to one part of themucous membrane, which thus becomes considerably thickened. Tfthe hyperplasia continues, the mass comes to project into the interiorof the uterus. This stimulates expulsive efforts on the part of the uterus, 88 GYNECOLOGICAL PATHOLOGY with the result that the projection becomes polypoidal and thus is pro-duced the mucous polypus of the uterus. It is also therefore a Fig. 84.—Uterus with Villous Endometritis .The uterus has been laid open from the front, and the shaggy villous character ofthe mucous membrane is seen. The patient was curetted, but the hemorrhagecontinued, so the uterus had to be removed. Microscopic examination showedit to be a simple adenoma. Clinical Phenomena.—The causes leading to the above-mentionedconditions are various. Most frequently there is a history of precedingpregnancy or abortion. It is also met with, however, in nulliparouswomen without apparent cause. In retroversion, in retroflexion and inprolapse of the uterus, it is common, and it may also result from pelviccongestion caused by some pathological condition of the other pelvicorgans or by some circulatory derangement. The symptoms commonly complained of are menorrhagia, dysmenor-rhcea, leucorrhcea. There may be a history of sterility or repeatedabortions ; there is pain in the back, irritability of the bladder, very ofte
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
