. Tumours, innocent and malignant; their clinical characters and appropriate treatment. broid the size of a mustard-seed. result, if left to the efforts of nature, is as a rule extraction of such a tumour by art is difficult andtedious. When calcified fibroids have been found incoffins, in old burying-grounds, they have been mistakenfor vesical calculi. UTERINE FIBROIDS 183 The soft, jelly-like fibroids are, in the majority of cases, dueto secondary (myxomatous) changes in tumours which wereoriginally hard. This is proved by the fact that patches ofsoftening are found in hard tu
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. broid the size of a mustard-seed. result, if left to the efforts of nature, is as a rule extraction of such a tumour by art is difficult andtedious. When calcified fibroids have been found incoffins, in old burying-grounds, they have been mistakenfor vesical calculi. UTERINE FIBROIDS 183 The soft, jelly-like fibroids are, in the majority of cases, dueto secondary (myxomatous) changes in tumours which wereoriginally hard. This is proved by the fact that patches ofsoftening are found in hard tumours, and occasionally fibroidscome to hand in which the very hard, calcified, gelatinousand difiluent tissues co-exist. However, it is important toremember that these changes do not always depend on theage of the tumour, for a very large proportion of uterinefibroids which occur before the thirtieth year are myxomat-ous. What is more important, these soft (almost liquid)fibroids are locally malignant—that is, they recur if enu-cleated, and this sometimes happens very quickly. In. Fig. 100.—Calcified uterine fibroid in section. (3Iuseicm, 3fiddlesex Hospital.) 1898 I removed through the vagina a jelly-like fibroid, asbig as an orange, from the uterus of a woman 45 yearsof age, and was careful to remove the whole capsule. Insix months she returned with a tumour in the uterusoccupying the position of the original fibroid, but twice itssize. Hysterectomy Avas performed, and the uterus con-tained a large myxomatous fibroid. She remains free fromrecurrence. Women with hard fibroids rarely complain of them, butwhen the fibroid is soft like jelly the health of the patientis markedly impaired, quite apart from the anaemia due tomonorrhagia. Red degeneration (necrobiosis).—This change in fibroids 184 GONNEGTIVE-TISSUE TUMOURS is best studied in specimens which are complicated bypregnane}^ It is considered at p. 199. Malignant changes in fibroids.—It is believed by manythat a sa
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
