Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . ultimately disappear. The nuclei are themost resistant part of the muscle-cell, and sometimes theymay be seen stained with logwood, in a red homogeneoushyaline area, as the last representatives of the muscle-bundles which have disappeared (see Fig. 44, Plate VII.). In other instances the hyaline change appears to startin the muscle-bundles themselves, the fibrous tissue beingthe last to become affected. Cullen gives an illustration oithis type of distribution.^ As a rule the vessel-
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . ultimately disappear. The nuclei are themost resistant part of the muscle-cell, and sometimes theymay be seen stained with logwood, in a red homogeneoushyaline area, as the last representatives of the muscle-bundles which have disappeared (see Fig. 44, Plate VII.). In other instances the hyaline change appears to startin the muscle-bundles themselves, the fibrous tissue beingthe last to become affected. Cullen gives an illustration oithis type of distribution.^ As a rule the vessel-walls resist this change to thevery last, so that blood - vessels may be seen lying inspaces where liquefaction has completely destroyed thesurrounding tissue (Fig. 45, Plate VII.). But there are ^ Fig. 68, Myomn of Uterus, Kelly and Cullen. Plate VII Fig. 4+ Fig. 46 Figure 44. Extensive hyaline degeneration in a myoma treated by X Rays There are indications of a few fragmentary muscle-bundles, but often only the nuclei of the muscle-cells remain. 4). Showing hyaline cluimarked in the blood-vessels Fig. 4S. FiGURK 45. Hyaline liquefaction. The blood-vessels, and thetissues around them, have resisted the degenerative process,and appear as islands in a lake. To FACE PAGE 46 Plate VIII Fig. 47 ? yj^- •RK. 47. Polypus, showing hyaline the zone of nuclei around a vessel fromwhich the cells are nourished. This growth wasdetached during labour, and was regarded asplacental tissue. Fig. 48 ^^- ^>;, ^?^% \\-l FiGURK 48. Showing irregular hyaline liquefaction,the type that produces a ragged cyst. Fig. 49 ;..>v.^..: ^^.^i^.u;:h.^mm^Mmm
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
