Identifier: diseasesofwomenc00herm (find matches)
Title: Diseases of women. A clinical guide to their diagnosis and treatment
Year: 1899 (1890s)
Authors: Herman, G. Ernest (George Ernest), 1849-1914
Subjects: Women
Publisher: New York, W. Wood & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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rarity—I believe my specimen is unique—of such tumourswill generally prevent diagnosis. If the uterine cavity is ofnormal length, the tumour will be taken for an ovarian cyst;if elongated, for a cystic fibroid. I know not how thesarcomatous nature of such a tumour can be found out till ithas been examined after removal. Hsematometra.—I have seen one extraordinary case inwhich a fluctuating tumour was formed by bloody fluidcontained in the uterus. Ten years before I had diagnosed auterine fibroid. The tumour filled the belly and fluctuated.Menstruation was irregular. The cervix was high up, almostout of reach, and I could not pass the sound. I thought the * Catalogue, Appendix vi., 1892, p. 37, No. 4,672 d. THE DIAGNOSIS OF OVARIAN TUMOURS. 781 tumour ovarian. When exposed and tapped, twenty-four pintsof brown fluid came out. Then I found the tumour was uterine—I thought fibro-cystic,—secured the cervix with a clamp, andremoved the main mass. The specimen is in the museum of
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Fig. 214.—Sarcoma of uterus. (From specimen, 4,672n, in the Museum of theRoyal College of Surgeons.) the Royal College of Surgeons* (Fig. 215.) It was examined byMr. Targett, who found that the cavity had a wall of mus-cular tissue three-quarters of an inch thick, lined with smoothpigmented membrane. He therefore concludes that this isthe uterine cavity. I regret that, as it did not occur to me atthe time that I was dealing with a haematometra, I did notexamine the cervical canal. I presume that a fibroid hadbroken down, and caused both bleeding into the uterus andblocking of the cervical canal, for the amount o+ fluid and thethickening of the uterine Avail far exceeded what is ever seenin haematomefcra from retention of menses. Mr. Meredith haspublished a case f differing only in degree from this. In hiscase it was estimated that the uterine cavity contained at * Catalogue, Appendix viii., 1894, p. 32, No. 4,604 a.t Obst. Trans., vol. xxix. p. 422. 782 DISEASES OF WOMEN. least five

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