. A manual of gynæcology and pelvic surgery, for students and practitioners. ^ retroversion and retroflexion. It frequentlyfollows an abortion in which there has been no evidence of in-fection. It is associated with practically all myomata of theuterus which are not distinctly intra-abdominal and peduncu-lated, and is found in many cases of chronic salpingitis. CHRONIC ENDOMETRITIS 223 Pathology.—Two distinct types are noted microscopically,but both may be present in an individual case. Interstitialendometritis shows marked increase in the interglandulartissue with more or less compression of
. A manual of gynæcology and pelvic surgery, for students and practitioners. ^ retroversion and retroflexion. It frequentlyfollows an abortion in which there has been no evidence of in-fection. It is associated with practically all myomata of theuterus which are not distinctly intra-abdominal and peduncu-lated, and is found in many cases of chronic salpingitis. CHRONIC ENDOMETRITIS 223 Pathology.—Two distinct types are noted microscopically,but both may be present in an individual case. Interstitialendometritis shows marked increase in the interglandulartissue with more or less compression of the glands. This in-creased tissue is almost entirely composed of small round cells. Fig. 103.—-Endometritis—glandular hyperplasia. So-called glandular endo-metritis. This section shows a somewhat marked glandular hyperplasia of theendometrium, the glands being increased both in number and size. There is nochange in the stroma here and no leucocytic infiltration. and intracellular substance, and when of long standing con-nective-tissue formation is observed. Glandular endometritis is marked by great hypertrophy andeven hyperplasia of the glands, and for this reason is sometimestermed benign adenoma. The glands may penetrate the mus-cular structure for a short distance and frequently are tortuousand folded upon themselves. Occasionally one may see more 2 24 DISEASES OF THE UTERINE BODY than a single layer of epithelium lining the glands, but as a rulethis picture, which is so characteristic of malignant disease, isnot found no matter how marked may be the increase in sizeand number of the glands. Small cysts may form in long-standing cases in consequence of occlusi
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