File:Diseases of women. A clinical guide to their diagnosis and treatment (1899) (14581573070).jpg

Identifier: diseasesofwomenc00herm (find matches)
Title: Diseases of women. A clinical guide to their diagnosis and treatment
Year: 1899 (1890s)
Authors: Herman, G. Ernest (George Ernest), 1849-1914
Subjects: Women
Publisher: New York, W. Wood & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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40), peroxideof hydrogen (1 in 10, or stronger), permanganate of potash(3J ad Oj, or stronger). Great cleanliness, frequent syringingand washing, and an unlimited supply of clean napkins orpads are essential for the reduction of foetor. Corroding ulcer of the uterus.—This is a rare disease,first described by Sir Charles Clarke,* and more recently bySir John Williams,t in Avhose paper references to other writersabout it will be found. It consists of an ulcer on the cervix,which spreads, destroying as it does so all the tissues in itsway (Fig. 124). It thus clinically much resembles cancer.But it is not cancer, for microscopic examination has failed * Diseases of Females attended with Discharges.f Obst. Trans., vol. xxvi. 388 DISEASES OF WOMEN. to find any structures like those of cancer or epithelioma in it.The base ot the ulcer is lormed by the tissues of the part withsome round cells. The ulceration does not advance by theseparation of large sloughs, but by slow destruction ot the
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Fig. 124.—Corroding ulcer. (After Sir J. Williams.) a, vagiua ; b, ulcer, exposing subperitoneal fat; c, uterus ; d, bladder ; e, broad ligamentf, vesico-uterine cellular tissue. tissues at its edge. The surface of the ulcer is never ashgrey or sloughy in appearance, but dark red and easilybleeding. There is no appearance of new growth at its edge. The progress is slower, and its course longer than that ofcancer, some patients living ten years or more, and finallydying of some other disease. It is not attended with suchemaciation as is usual in cancer, and it causes but little pain.Pain, when severe, is usually not till late in the disease, and isthen paroxysmal, and due to accumulation of discharge inthe body of the uterus. There is discharge, either purulent,muco-purulent, blood-stained, or, if it has been retained, GANGER OF THE CERVIX. 389 offensive; great haemorrhage is not usual. The disease seldomattacks patients before the climacteric. The disease, althoughnot cancer, is cli

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