Treatise on gynæcology : medical and surgical . ver complete, but occupies only their free interglandular tissue is less charged with lymph cells, but in the CANCER OF THE BODY OF THE UTERUS. 405 epithelioma and the layers of young connective tissue they are ar-ranged in regular lines which follow parallel to the excretory the epitheliomata, on the contrary, there is at the same time a hy-pertrophic elongation of the glands and a multiplication of cells whichrajjidly lose the type of ciliated epithelium. As a result of thisproliferation the lower part of the gland is f
Treatise on gynæcology : medical and surgical . ver complete, but occupies only their free interglandular tissue is less charged with lymph cells, but in the CANCER OF THE BODY OF THE UTERUS. 405 epithelioma and the layers of young connective tissue they are ar-ranged in regular lines which follow parallel to the excretory the epitheliomata, on the contrary, there is at the same time a hy-pertrophic elongation of the glands and a multiplication of cells whichrajjidly lose the type of ciliated epithelium. As a result of thisproliferation the lower part of the gland is filled full with an epithe-lial mass. The cells may either undergo a mucous transformation ortake on the polyhedral or cuboid form. As soon as the walls of theseglands are ruptured, the tumor presents the general disposition ofepithelioma or carcinoma. It may happen then, that as a last resort against the persistenthemorrhage which threatens the life of the patient, we are obligedto perform vaginal hysterectomy with only a diagnosis of probable. Fig. 204.— Mucous Membrane of the Cervix Compressed and Atrophied by a Cancer Developed inthe Deeper Layers. X 300. e, e, Mucous cells of the clear epithelial investment, no longer having cilia;a, wandering cell on the surface of the epithelium; b, a desquamated epithelial cell; t, connective tissueof the mucous membrane compressed by the tumor; v, vessels; g, glandular tube (Cornil). cancer, but beforehand we must carefully assure ourselves by exam-ination of the adnexa that they are not the cause of a reflex hemor-rhage. Occasionally, we can determine ujjon the organ so removedthe presence of the characteristic lesions of epithelioma which werenot demonstrable from the fragments obtained by the curette. Mar-tin and Lohlein13 have published cases of this nature which are veryinstructive to the clinician. A fibroma which is undergoing cancerous degeneration may berecognized by the aid of the microscope. The presence of metastaticnodul
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