A case of cystic interstitial uterine fibroid appearing papillomatous / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1908
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Licence: In copyright

Credit: A case of cystic interstitial uterine fibroid appearing papillomatous / by Alban Doran. 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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    [Reprinted from tie “Journal of Obstetrics and Gynaecology of the British Empire,” Deceiver, 1908]. A Case of Cystic Interstitial Uterine Fibroid Appearing Papillomatous, q t By Alban Doran, F.R.C.S., Senior Surgeon, Samaritan Free Hospital. An instructive monograph on cystic tumours of the uterus, hy Salva Mercade, appeared last year in a French medical serial * He divided them into (1) mucous or follicular cysts, (2) hydatid cysts, (3) embryonic cysts, always associated with the name of Y on Recklinghausen, (4) blood-cysts^ including cavernous angioma, and also cysts of the other three classes into which haemorrhage has taken place. Huguier’s serous cysts were probably embryonic. I will relate an instance in my own practice where a uterus bore a solitary cystic tumour which cannot be referred to any of the above sub-divisions. This cyst was formed by the liquefaction of the connective-tissue in an interstitial fibro-myoma, the essential muscular tissue assuming the appearances of a papillomatous growth. Mrs. R. R., a Russian Jewess, aged 45, was referred to me on July 1st, 1908, by Dr. A. Gaster on account of a uterine tumour which had increased in size during the past two or three months, under his observation. She was 45 years of age, and had been married for sixteen years. She had borne six children, and the youngest was three years old. The puerperia, it seemed, were all normal. In 1902 the patient suffered from rheumatic fever, followed by menorrhagia, from which she was never free during the succeeding six years. The catamenia were perfectly regular before the illness, appearing every four weeks with moderate show of blood; after the illness the interval varied from three to five weeks and the patient was troubled with haemorrhages. For two days before I first saw her she had been obliged to keep to her bed. The patient was very corpulent, pale, and rather sallow. A tense, spherical and freely movable tumour occupied the hypogastrium, extending upwards nearly to the umbilicus. The cervix uteri was continuous with the tumour and the vaginal fornices were free. The urine was rather scanty, very acid and turbid, clearing entirely on boiling; it was free from sugar or albumen. The tongue was moist, pale and rather rough, the appetite good, but the bowels were very constipated. The pulse was 72, small in volume and quite regular. There was a systolic murmur at the apex, conducted to the “ Les kystes de Put6rus.” Revue de GynCc. et de Cliirur. Abdom., vol. xi. p. 217.