The diseases of women : a handbook for students and practitioners . Fig. 68.—Sarcoma of the cervix uteri (Pernice). nied by marked enlargement of the uterus. When thesesigns follow on a recent labor or an abortion, they are sus-picious signs. It is, however, certain that many of these signs are causedby retention of a fragment of placenta or a uterine mole:under such conditions the cervical canal should be dilated,and the cavity of the uterus explored and any retained frag- 206 DISEASES OF WOMEN. ments removed. Should a morbid product other than pla-centa or a mole be detected, it is desirable
The diseases of women : a handbook for students and practitioners . Fig. 68.—Sarcoma of the cervix uteri (Pernice). nied by marked enlargement of the uterus. When thesesigns follow on a recent labor or an abortion, they are sus-picious signs. It is, however, certain that many of these signs are causedby retention of a fragment of placenta or a uterine mole:under such conditions the cervical canal should be dilated,and the cavity of the uterus explored and any retained frag- 206 DISEASES OF WOMEN. ments removed. Should a morbid product other than pla-centa or a mole be detected, it is desirable to reserve piecesfor microscopic examination. Treatment.—In the early stages of uterine sarcoma vag-inal hysterectomy gives the only hope of Fig. 69 .—Microscopic characters of a uterine sarcoma containing muscle-cells (Pernice). Epithelioma.—This disease only attacks that portionof the uterine cervix which is covered by an extension ofthe vaginal mucous membrane. It may begin as an ulceror as a raised warty mass. It quickly destroys the cervixand involves the vaginal mucous membrane. Treatment.—When the patient comes under observationearly—that is, while the epithelioma is restricted to the cer-vix—amputation of the cervix gives good results. It is im-portant to bear in mind that operations for epithelioma inthis situation are very limited by the close proximity of the DISEASES OF THE UTERUS. 207 bladder to the anterior surface of the cervix. Recurrenceusually takes place at the cut edge of the vaginal mucousmembrane. Amputation of the cervix uteri for epithelioma is attendedwith a very small risk to life. Adenoma.—This genus of tumors occurs in the endo-metrium of the body of the uterus and its cervical canal
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