File:Fibroids and allied tumours (myoma and adenomyoma) - their pathology, clinical features and surgical treatment (1918) (14757839636).jpg

Identifier: fibroidsalliedtu00lockuoft (find matches)
Title: Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment
Year: 1918 (1910s)
Authors: Lockyer, Cuthbert Henry Jones, 1867-
Subjects: Generative organs, Female -- Tumors Gynecology, Operative
Publisher: London : Macmillan
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: MSN

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inent and of a softerconsistence than the posterior. The cervical canal admittedone finger. Differential diagnosis—carcinoma corporis ormyoma uteri. A tent was introduced, and on its removalhalf a litre of chocolate-coloured fluid poured out. Thecervix was then split open, and immediately inside the internalOS two narrow apertures were found, the posterior leadingto the uterine cavity, and the anterior into a hollow spacein the tumour. The latter cavity still contained a lot ofchocolate-coloured fluid. The uterus was removed per ^ Beitrlige zur- Geb. und Gyfi., 1905, Bd. ix. S. 313.394 cHAP.v CYSTIC ADENOMYOMA 395 vagmam by Veit. . The tumour was j«(^peritoneal (nottA/r^peritoneal). The pedicle was i^ cm. long and i cm.wide ; its lumen was \ cm. wide. Its inner surface resembledthat of the cervical canal and gave the impression that ithad existed from a very early period of lite. Thetumour measured 12x8x9 cm. At its attachmentto the uterus the wall of the latter contained cysts and
Text Appearing After Image:
Fig. 225.—A cystic subperitoneal adenomyoma arisirif^ from the anterior wall of the uterusand communicating- with the uterine cavity. (After A. Bauereisen, Beitr. %ur Geb. undGyn. Bd. ix., 1905.) To be compared with von Recklinghausens case (Fig. 226),and with Doderlein and Herzogs case (Fig. 220, page 382). . ducts which opened into the adjacent cystic tumour.The tumour-wall for the most part was free of glands.The contents of the glands consisted of mucus. Theuterine mucosa was thick and granular. According toR. Meyer, there were two possible explanations to accountfor the origin of this cystic growth : (i) Developmentfrom the epithelium of Miillers canals before the formationof the glands of the uterine mucosa. (2) Developmentfrom the mature mucous membrane. 396 ADENOMYOMA CHAP. In Bauereiseiis opinion the growth arose in an accessoryMii/lcriaii duct embedded in the uterus. In loo^ the same author (Bauereisen) also recorded a 1905remarkable case of adenomyoma uteri sarcomatosa. I

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