File:The diseases of women - a handbook for students and practitioners (1897) (14591591340).jpg

Identifier: diseaomenh00blan (find matches)
Title: The diseases of women : a handbook for students and practitioners
Year: 1897 (1890s)
Authors: Bland-Sutton, John, Sir, 1855-1936 Giles, Arthur E. (Arthur Edward), 1864-
Subjects: Women Generative organs, Female Genital Diseases, Female
Publisher: London : Rebman Philadelphia : W.B. Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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us, it isimportant to remember that in many situations the sub-serous tissue is practically a bed of fat, but where it comesinto relation with the uterus it consists of a layer of un-striped muscular fibre directly continuous with the uterinetissue and with the muscular layer of the mesometrium.In young adults this stratum may be separated from theuterus with the peritoneum. Thus there are three situations in the uterus where my-omata may arise—(i) In the true uterine tissue: such aresaid to be intramural or interstitial myomata. (2) In themucous membrane: these are called submucous myomata.(3) In the subperitoneal tissue: these are termed subserousmyomata. Myomata may arise in, and remain confined to, any one 1S1 182 DISEASES OF WOMEN. of these layers, or they may arise in all three situations inthe same individual. i. Intramural Myomata.—These maybe single or mul-tiple ; in their early stages they resemble, in section, knotsin a piece of wood. These tumors have distinct capsules
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Fig. 59.—Uterus in sagittal section, showing intramural and subserous myomata. and are firm and even hard to the touch. The bundles ofmuscle-fibres are often interwoven in such a manner thatthey present a characteristic whorled appearance. Myom-ata arise in any part of the uterine wall (Fig. 59), but theyare more frequent in the body or the fundus than in the DISEASES OF THE UTERUS. 183 cervix (Fig. 60). There is no limit to their growth, and

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