File:The diagnosis of diseases of women (1905) (14763396195).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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Submucous fibroid of the uterus. The tumor is attached to the posterior wall of theuterus by a broad base. The overlying mucous membrane is atrophied. This atrophy ofthe endometrium accounts for the absence of hemorrhage. Spontaneous amputation of the tumor by lengthening or twistingof the pedicle is one of natures means of effecting a cure in sub-mucous growths. 314 SPECIAL DIAGNOSIS Fibromyomata of the cervix occur in about 6 per cent, of alluterine fibromyomata. 1. Submucous fibromyomata bulge into the uterine cavity andare directly covered with mucous membrane. They are eitherpedunculated or sessile, single or multiple, and are seldom as largeas the patients head. The pedicle may permit them to protrudeinto the cervical canal or farther on into the vagina. They usuallypossess a relatively large amount of muscle fibre and bloodvessels, Fig. 135
Text Appearing After Image:
Submucous fibroid of the uterus. The uterus is evenly distended by a large fibroid. and hence are soft in consistency, and their growth is rapid. Whenlarge and soft their form is moulded to that of the uterine cavity.They are rarely spherical, but more often elongated. The cervixmay constrict them into an hour-glass shape. As the tumor in-creases in size the overlying mucosa may be atrophied; likewise, theopposing mucosa of the uterus may suffer pressure atrophy, andadhesions may form between the tumor and uterine mucosa. This DIAGNOSIS OF FIBBOMYOMA OF THE UTEBUS 315 explains the absence of hemorrhage in many of the large submucousfibroids. Leyden and Kiister described a case in which a fibro-myorna having become detached from the uterus adhered firmly Fig. 136

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