Identifier: gynaecologyforst00eden (find matches)
Title: Gynaecology for students and practitioners
Year: 1916 (1910s)
Authors: Eden, Thomas Watts, 1864-
Subjects: Gynecology Gynecology
Publisher: New York : Macmillan
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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l-like investment, or the deposit of limesalts may be diffused throughout the whole substance of the tumour,producing the so-called ivomb-stone. Calcification of a fibro-myoma may be clinically detected by theuse of X-rays. Necrosis. Necrobiosis, Necrosis is to be found according to Traceyin 5 per cent, of myomata removed by operation. The central partsof a myoma, being the most remote from its blood-supply, are mostprone to undergo necrotic change. The demarcation of a necrotic areamay be sharp, or it may be indefinite. The colour of the dead tissuevaries with the blood-vascular changes in the neighbourhood; it maybe yellow-grey, grey-brown, greyish purple, magenta-red or mahogany-red. Necrotic patches are liable to occur in subserous, interstitial,and submucous fibroids. The change is invariably preceded byhyaline and fatty degeneration. The term necrobiosis is generally used to indicate partial destruc-tion or death of the tissues, in contradistinction to necrosis or total PLATE XV
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To face page 451 SECONDARY CHANGES IN FIBROIDS 451 death ; but the term has received a narrow application, and has beenemployed to designate a particular form of degeneration of fibroidswhich is frequent in pregnancy and in the puerperium. From itscolour it has also been known as red degeneration. A reason forusing the term necrobiosis is, that there is clinical evidence tosupport the view, that certain necrobiotic fibroids, or cases of reddegeneration, can actually recover their vitality ; that is to say, theclinical signs of tenderness and pain and also the rise of temperaturewhich sometimes occur, may subside after having caused a pro-tracted and tedious puerperium. But it must be pointed out that it isincorrect to regard necrobiosis and red degeneration as synonymousterms, and the question of the colour of the tissue is a side-issue. Red fibroids are of comparatively soft consistence. On section theyresemble raw or partly cooked beef-steak ; they give off a peculiar fishyodour ; d

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