Identifier: treatiseongync00pozz (find matches)
Title: Treatise on gynæcology : medical and surgical
Year: 1891 (1890s)
Authors: Pozzi, S. (Samuel Jean), 1846-1918 Wells, Brooks H. (Brooks Hughes), b. 1859
Subjects: Gynecology Genital Diseases, Female
Publisher: New York : W. Wood
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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resemble a spongesoaked in blood. In polypi the pedicle sometimes contains large arteries.13 Theypresent, however, a thickness of their walls and a contractility which,joined to the elasticity of the pedicle itself, secure a rapid, sponta-neous haemostatic action as soon as they are cut off. The spaces UTERINE FIBROMATA. 223 which separate the different layers are considered by Klebs to belymph channels. Nerves have been followed into these tumors by Astruc andDupuytren; Bidder has demonstrated them anew, and Hertz has de-scribed their mode of termination in the nuclei of the smooth mus-cular fibres.14 On microscopic section fibromata present smooth mus-cular fibres and connective tissue in varying proportion. Accordingto Ch. Robin, the muscular fibres are always in the minority, perhapsas high as half and at times as low as one-tenth.15 As one or theother predominates, the tumor is called a fibroma, a myoma, or a fibro-myoma. These terms are not exact but relative, for almost always
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Fig. 136.—Intra-ligamentous Fibroma. A, Abdominal variety; B, pelvic variety. the two elements are mixed. Gusserow16 proposes to distinguishthem as hard, where the connective tissue is in excess, and soft, com-posed chiefly of muscular fibres; the latter form is seldom entirelyencapsuled and is more vascular. On section we see the fibres cuttransversely, obliquely, or longitudinally. The first are easily dis-tinguished by the fusiform aspect of their elements and the char-acteristic nuclei which look on cross section like a mosaic; thisappearance must not be confounded with that of round cells. Be-tween the bundles there are fibrous layers of unequal thicknesswhich cross in all directions; they are partly connective tissue, poorin cells, and partly fusiform bodies prolonged longitudinally (Fig.138). 224 CLINICAL AND OPERATIVE GYNAECOLOGY. Connections with Neighboring Organs.—When a fibroma witha broad base grows from some free portion of the uterus (fundus, an-terior or posterior

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