Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . uterus was amputated above the level of theinternal os, and a dermoid cyst of the left ovary wasremoved. Fig. 231 shows the uterus; its wall measuredi:^ inches in thickness at its thickest part, which was nearthe right cornu. The endometrium presented a smoothsurface, but opening on to it there were many cysts, whichwere especially numerous near the right cornu ; here theycould be traced into a large cyst, from which foul muco- ^ Cuthbert Lockyer, Three Cases of Adenomyoma Uteri, Tr
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . uterus was amputated above the level of theinternal os, and a dermoid cyst of the left ovary wasremoved. Fig. 231 shows the uterus; its wall measuredi:^ inches in thickness at its thickest part, which was nearthe right cornu. The endometrium presented a smoothsurface, but opening on to it there were many cysts, whichwere especially numerous near the right cornu ; here theycould be traced into a large cyst, from which foul muco- ^ Cuthbert Lockyer, Three Cases of Adenomyoma Uteri, Trans. Land., 1906, xlviii. pages 84-96. 2 D 402 ADENOMYOMA CHAP. sanious discharge escaped during operation and soiled thewound. The cysts everywhere surrounded the interstitialpart of the right tube and appeared to open into it. Throughthe aperture of one of the cysts three tiny polypi projected intothe cavity of the uterus. This pit, from the bottom of whichthese tiny growths sprang, admitted a probe for a distanceof a quarter of an inch. A glairy fluid, similar to that expressed from the right. Fig. 231.— Showing three small polypi projecting through a siof adenomyoma uteri. cyst in a case Uterine cornu during the operation, could be squeezed fromthese cysts into the uterine cavity when the latter was firstopened up. The cysts showed a degenerating epithelial lining, andsome contained fragments of epithelium lying free in thelumen. The muscle-tissue was invaded by aggregations oftubules lined by a single layer of non-ciliated epithelium,and was surrounded by the usual cytogenous tissue. There was no evidence of tuberculosis in the walls ofthe tubes or in the uterine walls. There is no doubt that V CYSTIC ADENOMYOMA 403 this growth arose from the uterine mucosa and was ofinflammatory, but non-tuberculous, origin. This case and one of my other cases referred to underuterine malformation (page 392) are both examples of cysticdisease occurring in diffuse uterine ade
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