Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fig. 19.—Large submucous myoma with a broad attachment to the fundus and back of theuterus. The lower pole of the growth lay low in the vagina. The cervix has beenwidely opened up. attachment, and even when their lower pole reaches intothe vagina, they are still quite sessile (see Fig. 19). Whenthe attachment is very wide, the uterus fails to expel thegrowth, and the cavity then becomes stretched over it andthe growth is moulded to the shape of the cavity itself. SUBMUCOUS MYOMA 17
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fig. 19.—Large submucous myoma with a broad attachment to the fundus and back of theuterus. The lower pole of the growth lay low in the vagina. The cervix has beenwidely opened up. attachment, and even when their lower pole reaches intothe vagina, they are still quite sessile (see Fig. 19). Whenthe attachment is very wide, the uterus fails to expel thegrowth, and the cavity then becomes stretched over it andthe growth is moulded to the shape of the cavity itself. SUBMUCOUS MYOMA 17 I once removed a submucous myoma which had dilatedthe external os to the fullest extent, so that the diameterof the cervical canal measured 4 inches, and yet there wasno Extrusion. The growth was cystic, and the lower polewhich presented in the dilated os was mistaken for the bag. Fig. 20.—Uterus removed by vaginal hysterectomy for post-climacteric shows two submucous myomas and a small interstitial nodule. of foetal membranes ; and as the fundus was at the umbilicallevel, the case was thought to be one of premature labourat the fifth month. Submucous myomas may be single ; on the other handthey may be multiple (see Figs. 20, 21, 22), or so numerousas to become faceted by mutual pressure (see Fig. 23) ; more i8 MYOMA CHAP. often only one nodule becomes submucous. Sometimes aninterstitial growth in the posterior wall will project bothways—outwardly and towards the cavity. If sloughing of
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
