File:Pathology and treatment of diseases of women (1912) (14781650815).jpg

Identifier: pathologytreatme00mart (find matches)
Title: Pathology and treatment of diseases of women
Year: 1912 (1910s)
Authors: Martin, August Eduard, 1847- Jung, Ph. (Philipp Jacob), 1870-1918
Subjects: Gynecology Gynecology
Publisher: New York : Rebman company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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A A, Oc. 4.) are accompanied by an intense and rapid increase in the size of thetumors. As already mentioned, many myomata experience a spontaneousretrogressive metamorphosis, which may lead to an almost completeatrophy, eventually also to a calcification of the entire tumor (so-calleduterine stones), which then acquires a consistency of stony hardness.The atrophy and calcification of the myomata are to be considered asfavorable for the carrier, and in a certain sense, as a spontaneous cure,in contradistinction to other degenerative processes. Calcified myomatanot rarely are carried for many decades without any difficulties. Fatty degeneration also has been observed comparatively frequently;it likewise must be considered as a sign of retrogressive metamorphosis 236 DISEASES OF WOMEN particularly in myomata, which have passed through a pregnancy. Notrarely fatty degeneration takes place during the puerperium. It, as arule, commences in the centre of the tumor and progresses outwardly.
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FlG. 119.—Myxomatously Degenerated Pedunculated Uterine Myoma.(Authors preparation.) The fatty degenerated parts are characterized on cross-section by theirhomogeneous, yellowish coloration. The myxomatous degeneration ofmyoma also belongs to the not uncommon forms of degeneration. Usually PATHOLOGY OF THE VAGINA AND UTERUS 237 with a considerable increase in the size of the tumor, its interior liquefiesgradually, so that finally a large thick-walled cyst with thick, fluid, mostlyhemorrhagic contents, arises, in whose interior still are preserved con-nective tissue cords and plaques as remnants of the tumor structure(see Fig. 119). The anatomically well-characterized forms of degeneration mentionedare not always found, even with pronounced circulatory disturbances.A myoma, disconnected from the circulation, may become necrobiotic, ifonly micro-organisms are prevented from gaining entrance. Such tumors are then found somewhat softer than usual and thoroughlysaturated with serum. On c

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