File:The diagnosis of diseases of women (1905) (14576696480).jpg

Identifier: diagnosisofdise00find (find matches)
Title: The diagnosis of diseases of women
Year: 1905 (1900s)
Authors: Findley Palmer. (from old catalog)
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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of the tumor. He observed amoebicmovements in certain protoplasmic bodies which he interpreted tobe parasites, and believed them to be the essential cause of fibroids.Vedeler believed he discovered animal parasites in uterine fibroids.Virchow believed them to be a hyperplasia of the uterine muscula-ture. Judging from the above conflicting opinions, it is evident thatnothing is certainly known of the histogenesis of uterine fibroids. THE ANATOMICAL DIAGNOSIS OF UTERINE FIBROIDS. Under this head we will consider the size, form, consistency, rateof growth, number, and position of the tumor, and also the micro-scopic structure. DIAGNOSIS OF FIBROMYOMA OF THE UTERUS 311 In size uterine fibroids vary from almost microscopic dimensionsto the tumor reported by Hunter, weighing 140 pounds and that ofSeverann weighing 195 pounds. Webster recently reported a fibro-cystic tumor of the uterus weighing 87 pounds. Recovery followedthe operation, which was almost wholly performed under local Fig, 133
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Multiple uterine fibroids. The uterine canal is distorted by two large interstitial fibroids—a pedunculated and a senile fibroid occupies the surface of the uterus, and on the opposite(right) side is a small subperitoneal fibroid. (Specimen removed by Dr. J. Clarence Webster.) anaesthesia. So far as I am able to find in the records this is thelargest uterine fibroid to be removed successfully. Adhesionsnearly always complicate these large tumors. The form is smooth and rounded, or, as is more often the case,nodular. In consistency fibroids vary from soft and semifluctuating to a 312 SPECIAL DIAGNOSIS stone-like hardness. Fibroids are classified as hard and soft.Hard fibroids consist largely of fibrous tissue with a relativelysmall amount of muscle fibre; the blood supply is not great. Softfibroids are made up of a relatively large amount of muscle tissueand are very vascular. The rate of groivth of soft fibroids is more rapid than that ofhard fibroids. During pregnancy fibroids grow

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