Myomata of the Uterus

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Saunders, 1909 - Myoma - 723 pages
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Page vii - ... the subject. Written by those men who have brought, step by step, the operative treatment of uterine myoma to such perfection that the mortality is now less than one per cent., it stands out as the record of greatest achievement of recent times. The illustrations have been made with wonderful accuracy in detail by Mr. August Horn and Mr. Hermann Becker, whose superb work is so well known that comment is unnecessary'.
Page 194 - ... opening the uterus immediately on its removal to ascertain whether or not any chance carcinoma of the uterine body existed, and he now recommends not only the careful examination of the uterine cavity, but also of the myomatous nodules. As an illustration of this, he reports a case of supra vaginal hysterectomy supposedly for simple interstitial and subperitoneal myomata.
Page 266 - The sphalerite occurs disseminated through the crystalline limestone near the granite contact 'in grains varying from the size of a pea to that of a walnut.
Page 171 - Those in which the uterus preserves a relatively normal contour; (2) subperitoneal or intraligamentary adenomyomas; (3) submucous adenomyomas.
Page 172 - No other pathologic condition of the uterus, as a rule, gives this characteristic picture.* Treatment. — The patient's health is often gradually undermined by the uterine hemorrhages, and the only way to control them is to remove the uterus. A supravaginal hysterectomy is all that is necessary. The ovaries should be saved. The prognosis is good, as the glands of the adenomyoma are perfectly normal uterine glands and are surrounded by the characteristic stroma of the mucosa. Origin. — The glands...
Page 413 - Studding the right lobe of the liver are five careinomatous nodules, one of which, even in the reduced drawing, is more than a centimetre in diameter. All are sharply defined, whitish in colour, and are slightly umbilicated. There were also minute nodules both in the substance and on the surface of the organ. The hepatic nodules were secondary to the carcinoma of the uterus.
Page 172 - His reasons are, ( i ) the bleeding is usually confined to the period; (2) there is usually much pain, referred to the uterus, at the period: (3) there is usually no intermenstrual discharge of any kind ; (4) the uterine mucosa is perfectly normal and may be rather thick.
Page 30 - In one of these a large tortuous vessel. /i. tilled with clear fluid. Is seen. It Is a markedly dilated lymph vessel. have had seven cases where considerable ascitic fluid was detected at operation. In Gyn. No. 9786, where the rounded myomatous tumor reached to within 5 cm. of the umbilicus, the abdomen contained 200 cc of free fluid. A glance at the history will show, however, that other factors were in all probability responsible for the ascites. The patient had a loud apical systolic murmur. There...
Page 14 - ... the tumor is large and much is required of the omentum then the vessels rapidly increase in size and the omental fat gradually disappears. The first change noted is that the vessels in the vicinity of the tumor stand out clearly and that the tissue between the vessels is becoming rarified (Fig. 1). Later the vessels near the tumor are merely supported by the peritoneal folds of the omentum. The fat continues to be absorbed until little or no trace of omentum remains, and the vessels are only...
Page 38 - THE FALLOPIAN TUBES. In this case the uterus was sligthly enlarged and contained several small myomatous nodules. Projecting from the posterior surface was a broad lobulated subperitoneal myoma attached by a small pedicle. Passing into the anterior surface of the myoma was a small artery from the left tube and into the posterior surface of the tumor a large artery from the right tube. This artery was very long and lay perfectly free in the abdomen. Coiled around it was the accompanying vein (Fig....

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