An American Text book of Gynecology Medical And Surgical for Practitioners And

Cover An American Text book of Gynecology Medical And Surgical for Practitioners And
An American Text book of Gynecology Medical And Surgical for Practitioners And
J M John Montgomery Baldy
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The uterus is much increased in size and the cervical canal is tense. The cervical canal may be, however, dilated and patulous, permitting the introduction of the finger. The tumor-masses may project from the os into the vagina, or with a patulous cervical canal the finger may recognize the soft growths in the uterine cavity. The tumor may be expelled into the vagina by uterine contractions, which may indeed invert the womb. Pieces of the mass can be readily broken off" by the examining finger
...before sloughing has taken place.
There is a marked cachexia and rapid loss of flesh and strength, and finally death from peritonitis; pyemia, ileus, or metastasis takes place, ushered in by extreme anemia. The metastasis is more fre- quent in fibro-sarcoma than in the diffuse form, and occurs in the lymphatic glands, the lungs, the liver, and the pelvic cellular tissue.
In the diffuse sarcomata there is usually no distinct tumor to be recognized externally. The womb is enlarged and fixed. The growth may push itself through the os, giving the picture of a circumscribed tumor.


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