File:Diseases of women. A clinical guide to their diagnosis and treatment (1899) (14581570830).jpg

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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al.) (RobertBarnes.) the lower end of the kidney. In uterine cancer the glandsare attacked very late. Adjacent parts are invaded longbefore the glands become involved. So long as the uterus ismovable, it is rare for the glands to be diseased. Afteradjoining parts have been invaded, disease of the glandsonly occurs in about one-third of the cases. When thedisease recurs after removal, it is rare for the recurrence tobe in the glands. (c) Secondary or metastatic growths are rarer, and occurlater, in cancer of the uterus than in any other form ofcancer. They occur in less than 10 per cent. They aremostly in the liver, next often in the lungs, after which in CANCER OF THE CERVIX. 361 frequency come the kidneys. Secondary growths have beenseen in the stomach, bowel, thyroid, brain, supra-renals, skin,gall-bladder, heart, breast, muscles, and bones; but all theseare rare. Cancer of the uterus secondary to cancer elsewhereis very rare. » The breaking down of cancer.—Cancer sooner or later
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Fig. 120.—Showing great enlargement from cancer of the cervix and lower part ofthe body of the uterus. (From a specimen in the museum, St. BaythotomeivsHospital.) (Robert Barnes.) breaks down ; that is, the older part of the growth dies anddisintegrates. Big sloughs are rare, but have been seen. Thisbreaking down is important, for it is a characteristic featureof cancer, and it does injury, making holes where thereought to be continuity. The time at which it occurs varies.Sometimes it occurs so early that the cancer is an ulceralmost from the beginning (Fig. 119); sometimes so late thatthe cancer may form a mass of such size and hardness (Fig. 120) 362 DISEASES OF WOMEN. as to block the cervical canal, and prevent the contents ofthe uterine body from getting out, thus producing haemato-metra or pyometra. The symptoms of cancer.—The chief symptoms, whencancer is advanced, are bleeding, offensive discharge, pain,and wasting. These symptoms come on so insidiously thatoften the patien

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