Pathology and treatment of diseases of women.

  • Martin, August Eduard, 1847-1933.
Date:
1912
Catalogue details

Licence: In copyright

Credit: Pathology and treatment of diseases of women. Source: Wellcome Collection.

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    process retams an entirely benign character in spiteof the great capabil- ity for prohferation of the epithelium. The stroma also takes part in the general hypertrophy; it becomes 11c lei m ood and tissue fluids, an interstitial edema appears in places, , e. stroma ceDs prohferate, and they are large with round and readily s aining nuclei. A round cell infiltration is, however, found only very rarely in these forms, and particularly at the time of the premenstrual congestion. A spontaneous resolution of such hypertrophies may ensue, with the removal of the cause if the condition has not yet become chronic While a shedding of the superficial epithelium of the mucosa, as is well known, does not take place during the menses, or only in a very mod- Fig. 99.—Endometritis Exfoliativa. Mucous membrane of the corpus uteri expelled during menstruation. (Author’s preparation. Zeiss, Obj. AA, Oc. 2.) erate degree (see p. 15), there are rare cases in which a thick layer of mucosa is expelled as a coherent membrane, always with menstruation, or is expelled also in several shreds with the menstrual blood often with laborlike pains (decidua menstruationis). This occurrence, the etiology of which is entirely inexplicable, has been designated dysmenorrhea membranacea on account of the disturbances connected with it. Anatomically the surface epithelium of the expelled membrane is almost always found destroyed. The stroma cells are swollen and stain with difficulty, like the decidual cells. With it there exists an abundant round cell infiltration anda permeation of the entire mucosa with serum. The glandular epithelium is often exfoliated, but at other times still well preserved (see Fig. 99). This expulsion of the superficial layers of the uterine mucosa may be