Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . itial stage of death of the patches are liable to occur in subserous, interstitial,and submucous myomas. Necrosis is common in sub-mucous growths, where it is liable to pass into gangreneas the result of infection of the dead tissue by saprophyticorganisms derived from the genital tract. Necrotic areasassume various colourings dependent upon the blood-vascularchanges in their neighbourhood ; they may be yellow, grey,grey-brown, greyish-purple, magenta-red, or mahogany-
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . itial stage of death of the patches are liable to occur in subserous, interstitial,and submucous myomas. Necrosis is common in sub-mucous growths, where it is liable to pass into gangreneas the result of infection of the dead tissue by saprophyticorganisms derived from the genital tract. Necrotic areasassume various colourings dependent upon the blood-vascularchanges in their neighbourhood ; they may be yellow, grey,grey-brown, greyish-purple, magenta-red, or mahogany-red. Necrosis is to be found, according to Tracey, in 5 percent of myomas removed by operation. The central parts of a myoma, being the most remotefrom its blood-supply, are most prone to undergo necroticchange, and from the centre the area of tissue-death spreadstowards the periphery. The demarcation is often quite sharp(see Fig. 134, page 142), or it may be indefinite (Fig. 137,Plate XXXIII., page 142), being surrounded by a kind ofpenumbra or halo where the changes are not so intense. Plate XVIII Fig. 76. FuiURE 76. Showing large fat-globules lying in columns correspondingto the original direction of the ^ in. obj. ^ section was taken from the cervical myoma seen in figure 75, plate XVII. .>;/>-v y. Figure 77. Showing fatty globules within fragments of nuclei of the cells still persist. -i in. obj. 2 eyepiece. The section was taken from the cervical myoma seen in figure7^. Figures 76 and 77 were stained with Sudan III.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
