Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . 187.—Cystic adenomyoma of the left side of the fundus uteri and cystic adenomyomaof the right ligamentum rotundum. (After Semmelink and de Joselin de Jong, ) ^ = cystic tumour of the left side of fundus uteri ; 5 = left tube ; C = ieft cystic ovary ; £) = adeno-myomatous node between corpus uteri and cervix; A=right tube; F=right cystic ovary; G = rightround ligament; H—cysX. of right round ligament; /=solid round myoma in the fundus uteri;Ar= fundus uteri. value can be attrib
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . 187.—Cystic adenomyoma of the left side of the fundus uteri and cystic adenomyomaof the right ligamentum rotundum. (After Semmelink and de Joselin de Jong, ) ^ = cystic tumour of the left side of fundus uteri ; 5 = left tube ; C = ieft cystic ovary ; £) = adeno-myomatous node between corpus uteri and cervix; A=right tube; F=right cystic ovary; G = rightround ligament; H—cysX. of right round ligament; /=solid round myoma in the fundus uteri;Ar= fundus uteri. value can be attributed to the size and shape of the glandsas points of distinction from those of the uterine I quite agree with the authors that this round-ligament tumour did not arise from the uterine mucousmembrane. II ADENOMYOMA OF ROUND LIGAMENT 317 They point out that von Recklinghausens essentialmorphological features were wanting, there were nopseudo-glomeruli, no pectinate gland-formation, and no Penpkery ofround ligament Glandular processesinvading the muscle Lining of central \ cyst. Fig. 188.—Adenomyoma of the right round ligament; see letter G in Fig. 187. Theglandular growth has left tongues of muscular tissue between the invading processes.(After Semmelink and de Joselin de Jong, ) pigment-bodies. In their opinion these features are notessential to a Wolffian tumour. The round-ligament adeno-myomas are mesonephric in origin, according to Semmelinkand de Joselin de Jong, for topographical reasons. These 3i8 EXTRAUTERINE ADENOMYOMA chap. authors rightly say that topography and not morphologyis the determining factor. Figs. 187 and 188 show adenomyoma of the right roundligament (at its uterine end) in the case of Semmelink andde Joselin de Jong.^ Malignant Adenomyoma of the Round Ligatnent.—The onlycase I have been able to find is that of Dubar, Carcinomemiiqueux developpe dans le canal inguinal du cote droit? The patient was aged 29 years. The
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