Gynaecology for students and practitioners . oth of which were visibleon separating the labia. These growths are extremely vascular andbleed freely on contact. Primary growths have been known todisappear spontaneously. Carcinoma of the Vagina. Cancer is met with in the vagina as aprimary or as a secondary growth. Primary cancer is rare, the subjects of the disease being usually NEW GROWTHS 387 elderly women, although a few cases have occurred between twenty-five and thirty years of age. In some cases it has supervened uponprolonged irritation from a neglected pessary ; occasionally it com-plic
Gynaecology for students and practitioners . oth of which were visibleon separating the labia. These growths are extremely vascular andbleed freely on contact. Primary growths have been known todisappear spontaneously. Carcinoma of the Vagina. Cancer is met with in the vagina as aprimary or as a secondary growth. Primary cancer is rare, the subjects of the disease being usually NEW GROWTHS 387 elderly women, although a few cases have occurred between twenty-five and thirty years of age. In some cases it has supervened uponprolonged irritation from a neglected pessary ; occasionally it com-plicates prolapse of the vaginal walls. In the majority of instancesthe disease begins in the posterior wall in the form of a circumscribedarea of induration ; this enlarges in all directions and tends to becomeulcerated superficially. Several isolated patches of the disease maybe met with, or it may surround the vaginal canal, forming an annular Epitheliomasliowingkeratoidepithelial pearls. Vaginal surface. Hyperplasiaof nornial,vl Fig. 188. Pkimaky Epithelioma of the Vagina. Microscopic section ofgrowth shown in Fig. 187. stricture. The paravaginal cellular tissue is early infiltrated ; whenthe neighbourhood of the ostium vaginae is attacked, the inguinalglands may become indurated ; from the remainder of the canal thelymphatics pass, with those of the cervix, to the deep hypogastricglands. A rectal fistula is a frequent accompaniment of the laterstages ; a bladder-fistula may also be formed, but is of much rareroccurrence. Histologically the growth presents the usual appear-ances of a squamous-celled cancer {see Fig. 188). Secondary cancer is more common and may be met with as an extension from cancer of the cervix or of the rectum ; more rarely it arises from cancer of the uterine body, the metastases being formed from implantation of living cancer-cells carried down from the uterus 388 GYNECOLOGY with blood or other discharges. An instance has also been recordedwh
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
