. Operative gynecology. 6 were appar-ently adeno-carcino-mata and -41 epitheli-omata, but in 5 caseswhich came underFehlings personal ob-servation 4 were epi-theliomata and 1 an adeno-carcinoma. The clinical history is practically thesame as noted in those cases where no ])regnancy exists, plus the abdominalenlargement and the swelling of the breasts. Course of the Pregnancy.—In 29 per cent of Cohnsteins casesthe patient either aborted or miscarried. Of those advancing to term the samewriter found that 36-2 per cent of the children were born alive, while in Theil-habers cases 4:72 per cent wer
. Operative gynecology. 6 were appar-ently adeno-carcino-mata and -41 epitheli-omata, but in 5 caseswhich came underFehlings personal ob-servation 4 were epi-theliomata and 1 an adeno-carcinoma. The clinical history is practically thesame as noted in those cases where no ])regnancy exists, plus the abdominalenlargement and the swelling of the breasts. Course of the Pregnancy.—In 29 per cent of Cohnsteins casesthe patient either aborted or miscarried. Of those advancing to term the samewriter found that 36-2 per cent of the children were born alive, while in Theil-habers cases 4:72 per cent were living at birth. When pregnancy advances toterm, labor may come on in the usual way and progress without any untowardsymptoms, but in some cases most disastrous results may follow. If the growthis far advanced, deep tears may take place in the hard but friable carcinomatoustissues, and the l)ladder or rectum may be laid open. In some instances theuterus ruptures ; Hermann has reported rapture in 11 out of 180 Fig. 456.—Abeno-carcinoma BODT OF THE UxERrS. ShowiDfT large globular uterus tilled with the disease; nodules of theextension of the carcinoma through to the peritoneal surface are seen be-tween the left tube and ovary. July 25,1S94. Natural size. CANCER OF THE UTERUS, WITH MYOMA OR TUBERCULOSIS. 31c Treatment.—Up to the fifth month vaginal or abdominal hysterectomymay be performed. Most operators prefer the vaginal route, as in pregnancy,
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
