File:Cyclopædia of obstetrics and gynecology (1887) (14761839236).jpg

Identifier: cyclopdiaofobs09gran (find matches)
Title: Cyclopædia of obstetrics and gynecology
Year: 1887 (1880s)
Authors: Grandin, Egbert H. (Egbert Henry), b. 1855, ed Bandl, Ludwig Billroth, Theodor, 1829-1894 Börner, Ernst, 1843-1914 Breisky, A Charpentier, Arthur Louis Alphonse, 1836-1899 Chrobak, Rudolf Gusserow, A Hegar, A. (Alfred), 1830-1914 Kaltenbach, Rudolph, 1842-1896 Müller, Peter, 1836-1922 Olshausen, Robert Michaelis von, 1836-1915 Winckel, F Zweifel, Paul
Subjects: Obstetrics Women Gynecology Obstetrics
Publisher: New York, W. Wood & Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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bservationsAvere based almost exclusively on posf-DiOiieni examinations, found thatthis was almost invariably the case. Blau (1. c.) states that this occur-rence was noted in 75 out of 93 cases recorded in the journal of the Pa-thological Institute of Berlin. Infiltration of the peri-uterine cellular tissue within the pelvis leads to EPITHELIOMA AND CARCINOMA. 367 cancerous involvement of the pelvic lymphatic glands (in 30 out of 93,according to Blau) and of the ureters. Epitheliomatous destruction inparticular very often attacks the bladder. Thus, in a total of 218 cases,Wagner observed cancer of the bladder in 83 instances, that is in 38 percent.; in 28 of these fistulas were present. Blau met with cancer of thebladder in 45 out of his 93 patients. Similar figures hold good as regardsthe extension of the disease to the rectum. This complication was ob-served by Blau and Wagner in fifty-three out of two hundred and eighty-two cases, fistulte having been produced in twenty-four cases.
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Fig. 46.—Epithelioma op the Portio Vaginalis op the Cervix, with destruction of the posTERioR Fornix Vagina. (From the Collection of the Pathological Institute at Strasburg.) The affection also generally spreads directly to the ovaries; this wasnoted forty-nine times in the above total of two hundred, and eighty-threecases. In Blaus ninety-three cases the lumbar glands were involved intwenty-four, the soft tissues of the pelvis in twenty-three, and the retro-peritoneal lymphatic glands in fifteen cases. Direct extension of cancer to the peritoneum is decidedly more rare,probably because the growth becomes encapsulated and separated fromthe peritoneal cavity by newly formed connective-tissue, usually at a very.early date. This complication was observed in only eighteen out of 264 368 NEW GROWTHS OF THE UTERUS. cases. It is still more rare to find cancer of the uterus extending directlyto the pelvic muscles and bones, or to the urethra and external genitals. The following figures will

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