File:The Cleveland medical journal (1909) (14745768486).jpg

Identifier: clevelandmedical08clev (find matches)
Title: The Cleveland medical journal
Year: 1909 (1900s)
Authors:
Subjects: Medicine Medicine
Publisher: Cleveland : The Cleveland Medical Journal Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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hysterectomy was per-formed. The patient made an uneventful recovery. Pathological Report: The specimen (Fig. 1) consists of the uterusand tumor, weighing together 900 grammes. The upper portion, com-prising four-fifths of the entire mass, measures 14 x 10 x 7 cm. It isvery nodular and feels like a calcified mass. The nodules are of varyingsize and are white in color. The anterior surface is more nodular thanthe posterior, the peritoneal covering being very adherent to the nodules.The lower portion, consisting of the uterus and smaller nodules, measures6x6x6 cm. At its upper border are the tubal openings. This portionis also nodular but not so hard as the upper part. The peritoneal coveringis also less adherent. The external os can be seen slightly posteriorly.A cross section of the tumor, made with a saw, presents white, irregular Read before the Clinical and Pathological Section of the Academy ofMedicine of Cleveland, June 4, 1909. Ludlow—Calcification of Uterine Fibromyomata 399
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fig. 1 areas of calcification which, with the included soft tissue, forms a coral-like structure (Fig. 2). Microscopic Examination: A section from the soft portion of thetumor mass is composed of fibrous and muscular tissue, irregularly dis-tributed. In some portions the fibrous tissue predominates, while in otherplaces the muscle is in excess. For the most part the tissue stains well,but certain parts show varying degrees of hyaline degeneration. Theblood supply is very deficient. In a section from the hard portion of the tumor no distinct musclefibers can be seen, these probably having undergone fibrous change andthen hyaline degeneration. There are a few faintly staining connectivetissue fibers, but for the most part this tissue has also undergone hyalinechange and necrosis. Here and there throughout the section are irregularareas, which stain a diffuse bluish-violet color with hematoxylin, theareas of cr.lcifbation. No blood-vessels can be recognized and no bonystructure is found

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