Gynaecology for students and practitioners . omatous Change in Fibroids. The occurrence of endo-and peri-theliomatous changes in fibromyomata is very rare. They willtherefore be referred to under Sarcomata [see p. 514). Fibroid Tumours and Cancer of the Uterus. The association offibroids and malignant uterine growths may occur in two cliiferentforms : (1) fibroid tumour with cancer of the cervix {see Fig. 231) ;(2) fibroid tumour with cancer of the body {see Fig. 232). In bothforms the fibroid and the carcinoma are independent diseases, cancerhaving attacked a uterus already the seat of a fibr
Gynaecology for students and practitioners . omatous Change in Fibroids. The occurrence of endo-and peri-theliomatous changes in fibromyomata is very rare. They willtherefore be referred to under Sarcomata [see p. 514). Fibroid Tumours and Cancer of the Uterus. The association offibroids and malignant uterine growths may occur in two cliiferentforms : (1) fibroid tumour with cancer of the cervix {see Fig. 231) ;(2) fibroid tumour with cancer of the body {see Fig. 232). In bothforms the fibroid and the carcinoma are independent diseases, cancerhaving attacked a uterus already the seat of a fibroid growi;h. With regard to cancer it may definitely be stated that in 3 or 4 percent, of cases of fibroid tumours removed by hysterectomy, carcinoma 458 GYNECOLOGY has been found, and with somewhat greater frequency in the bodythan in the cervix. Thus in 1400 cases Kelly and Cullen found cancerof the body in 1-78 per cent., and of the cervix in 1-28 per cent. ; in 1118cases Noble found cancer of the body in 2-4 per cent., and of the cervix. Fig. 229. Fibboid Ttjmoub invaded by Sabcoma. Two sarcomatous nodules are seen projecting as submucous growths into the cavity of the uterus. The microscopic appearances are shown in Fig. 230. in 1 per cent. Tracey in 3561 cases (collated) found cancer of the bodyin 1-7 per cent., cancer of the cervix in 0-7 per cent. In consideringthe subject of uterine cancer later on, it will be seen that this diseaseoccurs with much greater relative frequency in the cervix than in thebody ; when associated with fibroid tumours the relative proportionsare thus reversed. The subjects of fibroid tumours are more frequently sterile thanother women, and this fact in part accounts for the greater frequency MALIGNANT CHANGES IN FIBROIDS 459 with which, in these women, cancer occurs in the body than in the neckof the uterus. The association of cancer and jfibroids is rarely, if ever, seen beforethe age of forty. The view has been advanced that the figures alrea
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