Interstate medical journal . Figure 1.— (Private Case.) Early cancer of the cervix showing extensive re-moval of cellular tissue, especially on the right side (left side of picture).The ureter in this case lay in the groove between the uterine vein (short) anduterine artery (long). Diagnosis could be made positively only by the micro-scope. Operation Dec. 16, 1908. Figure 2.— (Skin and Cancer Hospital.) Advanced cancer of the cervix withbeginning infiltration of left parametrium. Extensive removal of cellulartissue and enlarged iliac lymph-glands on left side. A piece has been cutaw
Interstate medical journal . Figure 1.— (Private Case.) Early cancer of the cervix showing extensive re-moval of cellular tissue, especially on the right side (left side of picture).The ureter in this case lay in the groove between the uterine vein (short) anduterine artery (long). Diagnosis could be made positively only by the micro-scope. Operation Dec. 16, 1908. Figure 2.— (Skin and Cancer Hospital.) Advanced cancer of the cervix withbeginning infiltration of left parametrium. Extensive removal of cellulartissue and enlarged iliac lymph-glands on left side. A piece has been cutaway to show ulcerated cervical crater, previously excochleated. OperationOctober 1 6, 1008. Recovery. TAUSSIG: UTERINE CANCER 113 down to the clear space in the broad ligament. Special care must betaken not to denude the ureter of its coat of nutrient blood vessels forfear of subsequent necrosis. In one of my cases such a ureteral necrosiswith resulting fistula developed on the ninth day and persisted in spite oftreatment so that I finally advised a nephrectomy for its relief. Thefistula, however, closed spontaneously 3]/> months after , of Wertheims clinic, reports such a late spontaneous closure asnot at all rare. Out of four hundred cases he found that ureteral necrosisdeveloped twenty-four times, or in six per cent, of the total
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