Treatise on gynæcology : medical and surgical . a round and elongated form, and may becomeveritable polypi, sessile or pedicled. In other cases there are smallcysts, of the size of a pins head, resembling the ovules of Naboth, socommon in the cervix and about the os externum, and having thesame glandular origin; but they differ from these in the quality ofthe fluid contained. It is more thin and serous, less consistent andcolloid, than the contents of the Nabothian ovules of the cervix. THE PATHOLOGY AND ETIOLOGY OF METRITIS. 141 These small cysts of the body of the uterus are seen more often
Treatise on gynæcology : medical and surgical . a round and elongated form, and may becomeveritable polypi, sessile or pedicled. In other cases there are smallcysts, of the size of a pins head, resembling the ovules of Naboth, socommon in the cervix and about the os externum, and having thesame glandular origin; but they differ from these in the quality ofthe fluid contained. It is more thin and serous, less consistent andcolloid, than the contents of the Nabothian ovules of the cervix. THE PATHOLOGY AND ETIOLOGY OF METRITIS. 141 These small cysts of the body of the uterus are seen more often inaged patients than in the young. Such is the macroscopic appearance of the uterine mucous mem-brane after chronic inflammation. 6 In the histology of the subject there are three distinct types, oftenclearly presented in different subjects or at times combined in this description I follow Wyders recent Chronic Interstitial Endometritis.—The interglandular tissuewhich we have seen gorged with cells in the acute form so that it. Fig. 98.—Interstitial Endometritis ?with Partial Atrophy op the Glands (Wyder). resembles granulation tissue, is transformed into true cicatricial tissuein which the number of cellular elements steadily increases. Theglands undergo the opposite alteration, being strangled in places andtransformed into cysts, or so compressed in their whole extent thatthey atrophy, and thus we may have a few glands scattered throughthe connective tissue (Fig. 98), altered into cysts in places (Fig. 99,A) or totally destroyed (Fig. 99, B). In cases where the atrophy is very marked the muscular layer iscovered by only a very thin layer of sclerosed connective tissue andthis in turn by epithelium. Under the surface still covered by pave-ment epithelium (Fig. 98), one sees the mucous membrane traversed 142 CLINICAL AND OPERATIVE GYNAECOLOGY. by these fibrous layers wliicli frequently interlace to form a mesh-work, generally filled with a homogeneous substa
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