The philosophy of tumour-disease : a research for principles of its treatment / by C. Pittfeld Mitchell.
- Mitchell, Charles Pitfield.
- Date:
- 1890
Licence: Public Domain Mark
Credit: The philosophy of tumour-disease : a research for principles of its treatment / by C. Pittfeld Mitchell. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![in their incipiency^ these women were unusually prolific. This is true, since the average number of impregnations for them is quite as great as that taken on the general average. Thus^ 1249 fruitful women under observation had given birth to 3550 children at full term, and in addition, had miscarried 1009 times, making 4559 impregnations, or an average of 357 pregnancies for each woman.^^^ These observations are borne out by those of Winckel and Roehrig, but the favour- ableness of functional exercise of the uterus as a condition of uterine myoma is shown more decidedly by Dr. Meadows.•]- Among 152 married patients 45 were sterile and 94 fertile. Of the latter 46 aborted, the total abortions being 105. The number of children born was 454, and the total number of pregnancies was 559, giving an average of nearly six pregnancies to each. Further, of the 152 who were married, the number of years of married life is stated in 128, and the total number of years amounts to 1937, giving an average of 15 years and a fraction to each. Passing now to the facts as to localization we see at once that this disease is not, like cancer of the uterus, confined more or less exclusively to some limited portion of the mother tissues. It is true that myoma seldom grows from the muscular tissue of the cervix and most generally from that of the body, yet it may grow from any part of the body. It may appear upon the peritoneal surface, in the substance of the walls, or within the uterine cavity. Of 334 myomas, 27 were situated in the cervix, and 307 in the body of the uterus. Of 307 in the body, 106 were interstitial, 128 subserous and 24 submucous. J The observations that have been made upon the relative liability of the different divisions of the uterine wall are not as yet conclusive. We may say of its distribution among the elements of the uterine tissues that myoma affects any portion of the muscular substance, but usually that of the body. Now and again the whole of the muscular substance * The Principles and Practice of Gynaecology. f Lancet: Loc. cit. \ Billroth : Op. cit.](https://iiif.wellcomecollection.org/image/b21067697_0186.jp2/full/800%2C/0/default.jpg)
