Treatise on gynæcology : medical and surgical . nly. In the fresh state, large cavities are alsofound which contain a mucous liquid holding cells in suspension(Fig. 201). It is easy to understand the method of formation of thesecavities. The fibrous wall which circumscribes them contains capillaryvessels penetrating into the epithelial layer, and covered by it. Thesevessels present vegetations under the form of papillae which are seensometimes cut longitudinally, sometimes transversely, in which lat- CANCER OF THE BODY OF THE UTERUS. 401 ter case they appear to be surrounded by cylindrical cel


Treatise on gynæcology : medical and surgical . nly. In the fresh state, large cavities are alsofound which contain a mucous liquid holding cells in suspension(Fig. 201). It is easy to understand the method of formation of thesecavities. The fibrous wall which circumscribes them contains capillaryvessels penetrating into the epithelial layer, and covered by it. Thesevessels present vegetations under the form of papillae which are seensometimes cut longitudinally, sometimes transversely, in which lat- CANCER OF THE BODY OF THE UTERUS. 401 ter case they appear to be surrounded by cylindrical cells. There arealso mucous cavities in the midst of the epithelial investment, so thatcertain tubes, originally narrow, are transformed into large cavities. With the higher powers the conditions are more easily understood(Figs. 202 and 203). Beside the lesions, which are wholly epithelioma-tous, the alterations of chronic metritis are almost constantly avoid errors many sections should be examined, and not merely afew small < MZMAfSAI Fig. 300.—Epithelioma of the Uterus; Diffuse Form, with Circumscribed Thickening, a, Muscularwall of the uterus; b, e, section of neoplasm; c, surface of neoplasm; d, cervix, not involved. The great quantity of cylindrical cells in these tubular or lobu-lated formations distinguishes these epitheliomata of the uterus fromordinary tubular pavement epitheliomata, such as are found in theintegument. They are in reality a special form, peculiar to themucous membrane where they are developed. At an advanced stage of evolution, cancer of the body of the uterusmay ulcerate, or, as Cornil has found, the mucous membrane may bepreserved and merely elevated by the epithelial lobules. The mucous membrane of the body of the uterus is usually easilyrecognized, for its epithelial cells are preserved although covered bycertain wandering cells, but its glands are atrophied and their cylin-drical cells are very small, the connective tissue


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Keywords: ., bookcentury1800, bookdecade1890, booksubje, booksubjectgynecology