File:The practice of surgery (1910) (14592379150).jpg

Identifier: practiceofsurger00mumf (find matches)
Title: The practice of surgery
Year: 1910 (1910s)
Authors: Mumford, James Gregory, 1863-1914
Subjects: Surgery
Publisher: Philadelphia and London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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je3 Fig. 188.—Adenocarcinoma of the body of the uterus cut through the anteriorwall. In spite of the fact that the whole uterine cavity is clioked with the disease,it does not invade the cervix (f natural size) (Kelly). cinoma—adenocarcinoma and epithelioma—may be present togetherThe tendency of adenocarcinoma is to involve the submucosa, and thetendency of epithelioma is to confine itself to superficial areas. AVhenthe deeper tissues are involved, the affected portion is enlarged, hard, andfriable. The surface is smooth, glistening, flattened, or nodular.Either variety extends rapidly and ulcerates readily. The margin ofthe ulcer is hard, irregular, and elevated. The base is rough and bleedseasily. The process may destroy the cervix, and when situated in thecervix, may extend variously and involve the vaginal vault, especiallyin front and at the sides; the broad ligaments, rarely the uterine append-ages, the ureters, the bladder, the urethra, and pelvic bones; the fundus,the il

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