Simple growths of the uterine mucosa / by F.W.N. Haultain.

  • Haultain, Francis William Nichol.
Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: Simple growths of the uterine mucosa / by F.W.N. Haultain. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    The growth, on examination, closely resembled the appearance of a cauliflower, its rough irregular surface being broken up into a number of cotyledons (Fig. 3). On microscopic examination it proved to be a connective tissue outgrowth of a papillary type, the individual papillae being covered by a layer of low columnar epithelium. After removal symptoms ceased, and there has as yet been no return (two years). Case IV.—A patient, aged 30, who complained of weakness, the result of menorrhagia, metrorrhagia, and profuse leucorrhoea of some months’ standing. On examination a small pencil-like growth was felt projecting through the os externum and attached to the uterine mucosa, fully an inch up the canal. It was smooth and of firmish consistence. After removal the microscope showed it to consist of well- formed fibrous tissue, through which coursed numerous glands lined by cylindrical ciliated epithelium. The surface was covered by numerous layers of stratified squamous cells. On the surface the glands freely opened, the transition from the cylindrical cells lining the gland to the squamous epithelial covering of the growth being quite abrupt. There has been no return of the growth (eighteen months). In attempting to classify the growths obtained from the above- mentioned cases, that from Case I. appears to be a well-marked example of a true adenoma, somewhat resembling a type of cervical growth already described by Underhill before this Society as a “ Channelled Polypus,” but from this it chiefly differs in the small amount of inter-glandular stroma met with. From the microscopic appearances it must be classified as benign, its recurrence resulting from an insufficient eradication of its base. In Case III. the seat of active growth is undoubtedly confined to the fibrous tissue of the mucosa, which, growing outwards in a papil- lary manner, receives a covering of epithelial cells. From the primary outgrowth secondary offshoots arise in a similar manner, so that the rough, irregular ^ cauliflower surface already men- Fig. 4. Microscopical apiiearauces of norous • j • p •, *' papillary polypus, showing the highly tlOlied IS foi’llied. cellular periphery with well-formed con- , ii nective tissue centre. X 40. Fl'Om this eCCeutlic grO^^ til Ol the fibrous tissue processes, each covered by a layer of epithelium, the tumour on section appears at its periphery to be riddled with glands; these, on closer