File:The diagnosis and treatment of diseases of women (1907) (14598076178).jpg

Identifier: diagnosistreatmecros (find matches)
Title: The diagnosis and treatment of diseases of women
Year: 1907 (1900s)
Authors: Crossen, Harry Sturgeon, 1869-
Subjects: Genital Diseases, Female Gynecology Gynecology Women Generative organs, Female
Publisher: St. Louis : Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ot sectioned;. The top of the uterine cavity is seen near the center of the left half ofthe sectioned mass. POINTS IN PATHOLOGY 627 In some cases adhesions to adjacent structures are formed, and through theseadhesions the tumor may receive part of its blood supply. Occasionally thepedicle of such a tumor is severed by torsion or otherwise and the tumor is thusentirely separated from the uterus and receives its blood supply through the vas-cular adhesions. Such a tumor is known as a detached or parasitic or wander=ing fibroid, and constitutes one of the curiosities of pathology. If a tumor which is escaping outward from the grasp of the muscular wall isso situated that it projects into the broad ligament, it is known as an intra=ligamentary fibroid. If it projects in such a situation that it raises the peritoneumbehind the uterus and passes back of the peritoneum, it is then called aretroperitoneal fibroid. On the other hand, the fibroid, as it develops, may push its way inward instead
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Fig. 607.mijomata.) A Single Encapsulated Fibromyoma of the uterus. (Bishop—Uterine Fibro- of outward, and may come in time to lie beneath the endometrium, where it isknown as a submucous fibroid (Figs. 605, 357). Submucous fibroids compriseabout 10 to 15 per cent of the cases. The submucous fibroid may project farther and farther into the uterine cavity,until it is attached to the uterine wall only by a narrow pedicle (pediculated sub=mucous fibroid—Figs. 309, 325). A pediculated submucous fibroid may be forcedout into the vagina while still attached to the uterine wall (Figs. 308, 309) andmay in this way cause partial or complete inversion of the uterus (Figs. 315, 325),a fact that must be kept in mind when removing such a growth by operation. Some fibroids, especially the adenomata, are without a distinct limiting cap-sule. The tumor tissue blends directly with the uterine wall (Fig. 608). Sucha tumor is called a diffuse fibroid. It may occupy only a small area or may extendall

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