File:The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy (1868) (14785104295).jpg

Identifier: diagnosispatholo00hewi (find matches)
Title: The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy
Year: 1868 (1860s)
Authors: Hewitt, Graily, 1828-1893
Subjects: Gynecologic pathology Women Gynecology Pregnancy
Publisher: Philadelphia : Lindsay & Blakiston
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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ontraction of the uterus. We may now consider the nature, history, and progress of thesefibroid growths of the uterus as a whole. Their groivtli is always slow. Thus a tumor may be ten ortwelve years attaining the size of a melon, and it would hardlyattain such a size as this in less than three or four years. Thiswill convey some idea as to the rate of progress. * Pig. 88 represents the outline of a uterus affected with fibroid tumors, in-terstitial and sub-peritoneal, from a patient in University College Hospital. 552 PATHOLOGY AND TREATMENT. As to their structure, it is pretty uniform. Vogel named themmuscular tumors. They contain many muscular fibres of theunstriped variety, precisely like those found in the substance ofthe uterine walls (see Fig. 92). There are also many delicate fila-ments presenting an undulating or waved arrangement. Thesetwo elements constitute the bulk of the tumor, but there are to beseen also many fusiform nucleated cells with granules and molecu- FiG. 89.*
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lar matter. They have on section a dense whitish structure, inwhich can be recognized the rounded nest-like portions of whichthey are made up. The appearance of the section much resem-bles that of the uterine wall. Harder or softer, now vascular,now paler ; such are the variations observed. They sometimes remain stationary as regards growth. Moregenerally they tend outwards, growing towards the exterior orinterior of the uterus, according to their primary position. They * Fig. 89 gives a lateral view of an enormous fibroid growth, from a patientlately in University College Hospital. The sound could be introduced withinthe uterine cavity as far as the point to which the lines in the drawing extend. FIBROID TUMORS OF THE UTERUS. 553 undergo absorption occasionally; sometimes they become trans-formed in a very curious manner into cyst-like bodies ; they be-come the seat of a cretaceous hard deposit. The cystic transfoi^malion is the most interesting. Thus a fibrouspolypus may become chan

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