A clinical history of the medical and surgical diseases of women / by Robert Barnes.

  • Robert Barnes
Date:
1873
Catalogue details

Licence: Public Domain Mark

Credit: A clinical history of the medical and surgical diseases of women / by Robert Barnes. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

    772/972 (page 746)
    But although it may he laid down as a general rule, that fihroid tumours do not continue to grow after the termination of the normal period of menstruation, it must he admitted that exceptions occur. I have even ohserved that the constitutional ferment which frequently attends this critical period of life seems to determine in the temporary exacerbation of any form of uterine disease existing at the time. The organic force which had hitherto been exerted in healthy physiological work, is now diverted into a morbid channel. In this way these tumours not infrequently acquire an enormous size, equalling or even exceed- ing that of the gravid uterus at term. Both the sub-peritoneal and the sub-mucous tumours seem to be constantly pressing towards expulsion. The first step in this effort is seen in bulging or projection on the surface; the Fig. 142.—(Two-thirds nat. size, St. Thomas's Hospital.) FIBROID TUMOUR OF THE UTERUS. Rfcowin* encapsulation in the proper uterine tissue, and attendant formation of cystic polypi Showing e™']^^_ The £um0ur starts from its capsule on section heing made. second is seen in peclunculation, when they are called polypi; the third is actual detachment from the uterus. The process of extrusion, a very important point in the clinical history of these growths, deserves attention. It may be likened generally to lihour The tumour is a parasitic growth which, drawing its means*of nutrition from the uterine wall, and stimulating the Sure in which it grows to increased development, may be