The practice of surgery . e cervix; V, the vagina fKelly, after J. G. Clark). and gauze dissection.^ It will not do to remove too thoroughly all thetissues about the ureters, because .such removal results in cutting off theirblood-supply, and in consequent necrosis of the ureters. In case ofthe ureters being involved in the growth or necessarily denuded, theymust be resected and implanted into the bladder. The simpler abdominal hysterectomy may be no more effective fora cure than is vaginal hysterectomy; but abdominal hysterectomy 1 The reader should supplement this brief description by studyi
The practice of surgery . e cervix; V, the vagina fKelly, after J. G. Clark). and gauze dissection.^ It will not do to remove too thoroughly all thetissues about the ureters, because .such removal results in cutting off theirblood-supply, and in consequent necrosis of the ureters. In case ofthe ureters being involved in the growth or necessarily denuded, theymust be resected and implanted into the bladder. The simpler abdominal hysterectomy may be no more effective fora cure than is vaginal hysterectomy; but abdominal hysterectomy 1 The reader should supplement this brief description by studying Sampsonsadmirable articles. TUMORS OF THE UTERUS 317 does permit a more careful exploration of the field. Whether or notthe extensive dissections I have last indicated shall prove of permanentusefulness remains to be demonstrated through time and experience. The after-treatment of these cases, as well as the after-treatmentof cases of vaginal hysterectomy, differs in no essential from that fol-lowed in cases of myoma.^. Vagocuffj Fig. 200.—Panhysterectomy for cancer. Epithelioma of the cervix in grape-like mass. Showing the extensive removal of the uterus and the broad ligamentsby the abdominal method (J natural size) (Kelly). There are sundry other diseases and tumors of the uterus, more or lessrare and more or less unimportant, which it behooves us to mention inpassing. Endothelioma Endothelioma is a malignant tumor rising from the endothelium ofthe vessels or serous surfaces and closely resembling cancer. It is foundin the fundus of the uterus as well as in the cervix, and may extend toneighboring organs. The course, symptoms, and treatment are similarto those of cancer. Sarcoma Sarcoma is rare in the uterus; it may develop in youth, in maturity,or in old age. Three forms are described: (1) Fibrosarcoma; (2) diffusesarcoma; (3) racemose, grape-like sarcoma. Fibrosarcoma resembles myoma in its location, though it is encapsu-lated rarely. Diffuse sarcoma may occur anywher
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