Identifier: gynecologicaldia00burr (find matches)
Title: Gynecological diagnosis
Year: 1910 (1910s)
Authors: Burrage, Walter L. (Walter Lincoln), 1860-1935
Subjects: Women
Publisher: New York, London, D. Appleton and Company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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.—Diagram Showing an Intraligamentous Fibroid. sixty years of age. The highest percentage, 38.8, was between theages of thirty and forty, and the next highest, 36.7, was betweenforty and fifty. Fibroids are undoubtedly very frequenl in thenegro race. The autopsy statistics of the Johns Hopkins Hospitalshow, according to Kelly and Cullen (Myomata of the Uterus,1909), that out of 742 autopsies on white and black women, overtwenty years of age, 20 per cent bad fibroids in their uteri, and oithese, 33.7per cent of the black women had uterine myomata, and10 per cent of the white women were affected in this way. I «not yet determined whether fibroids are more common among the 250 DIAGNOSIS OF FIBROID TUMORS OF THE UTERUS single than the married. Bayle and other authors thought thatthey were, while Gusserow, Dupuytren, West, and others, hold thatthey are not. ETIOLOGY The causation of these tumors is even now unknown, althoughthe problem has been studied assiduously by many noted investi-
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Fig. 106.—Large Submucous Fibroid showing Distortion of the Uterine Cavity. (Kelly.) gators during the last fifty years, and many hypotheses have beenadvanced, but so far none has been proved correct. An ingenioustheory is that advanced by A. Claisse (These de Paris, 1900). Hethinks they are due to infection of the uterine mucosa; subacuteinflammatory lesions of the mucosa, especially about the littleblood-vessels of the muscular wall, causing proliferation of roundcells, which are transformed into fibrous tissue. Heredity has beensupposed to play a part in the causation of fibroids; Hofmeier,Veit, Kleinwaehter, and others considering it a predisposing cause.It is doubtful whether this assumption is well founded, however,and we must regard the occurrence of fibroid tumors in members COURSE AND DEVELOPMENT 251 of the same family—a not uncommon happening—as coincidencesrather than examples of heredity. Sexual irritation, such as masturbation or abnormal sexualpractices, has been a

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