Vaginal hysterectomy for malignant disease of the uterus / by J.E. Janvrin.

  • Janvrin, J. E. (Joseph Edward), 1839-1911.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Vaginal hysterectomy for malignant disease of the uterus / by J.E. Janvrin. 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 The New York Journal ok Gynaecology and Obstetrics, September, 1892. VAGINAL HYSTERECTOMY FOR MALIGNANT DISEASE OF THE UTERUS. By J. E. Janvrin, M.D., Gynaecologist to the Skin and Cancer Hospital, etc. The well-known predisposition of the cervix uteri to the devel- opment of epithelioma has been referred chiefly to the presence of embryonic cells which remain as such, to a certain extent, during life; and in the light of our present knowledge as to the scope which local irritation plays in the development of cancer in all its varieties it is not at all strange that it should show itself as the prime factor in the development of epithelioma of the cervical tis- sue. Pozzi divides epithelioma of the cervix (and vagina) into four classes during the initiatory stage of its development. 1. Papillary or cauliflower. 2. Nodular or parenchymatous. 3. Cancer of the cavity of the cervix (boring or eating cancer). 4. Vaginal, usually commencing in the cul de-sac and then extending to the cervix and adjoining tissue. In a paper upon the “Limitations of Vaginal Hysterectomy” published in the New York Medical Record July 9, 1892, by the author of this monograph, in speaking of the most common course of diffusion of epithelioma of the cervix, as it appeared to him from a clinical point of view, he gave the following as that most com- monly observed by himself: 1. Epithelioma developing upon the cervix. 2. Epithelioma extending up and into the cervical canal. 3. Epithelioma extending up and into the uterine body. 4. Epithelioma extending to the tissues (cellular and glandular) surrounding the cervix. 5. Epithelioma extending downward upon the vaginal mucous membrane. 6. Epithelioma extending downward and into or through the vaginal wall. 7. Epithelioma or carcinoma developing primarily upon the endometrium. 8. Its extension to the body of the uterus. 9. Its extension to the uterine adnexa.