Further observations on the structure and treatment of uterine polypi / by Robert Lee.

  • Lee, Robert, 1793-1877.
Date:
1861
Catalogue details

Licence: Public Domain Mark

Credit: Further observations on the structure and treatment of uterine polypi / by Robert Lee. Source: Wellcome Collection.

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    “ though the facts which have now been stated, clearly de¬ monstrate that the greater number of uterine polypi are fibrous tumours which have been formed under the lining membrane and a stratum of muscular tissue, we are not entitled to conclude, as some have done, that these are the only tumours which make their way from the cavity of the uterus into the vagina, and which are not of a malignant nature. There is a tumour of the fundus or body of the uterus which grows occasionally from its mucous membrane, or is formed by a morbid change of the mucous membrane itself, which does not acquire a large size, but which seems to be analogous to the common polypus tumour which is formed in the cavities of the nose. It has a broad base and flattened form, and in some cases is largely supplied with blood-vessels. “ There is still another tumour/* I observed, “ formed under the lining membrane of the uterus, whose structure is peculiar, and differs from any of the preceding. It consists of a congeries of small vesicles or cysts, filled with a clear or yellowish-coloured ropy fluid, which cysts are embedded in a soft fibrous substance formed under the lining membrane of the uterus. Five examples of this disease have come under my observation, and in all the tumour was situated under the lining membrane of the uterus, wdiich wras very thin and highly vascular. “ A fourth variety of tumour of the uterus, to which the term polypus has also been applied by writers, is produced by a morbid enlargement of the glandulse or ovula Nabothi. One of these bodies is sometimes converted into a cyst as large as a wmlnut, or even a hen’s egg, and hangs by a slender peduncle from the cervix or lip of the os uteri. It is smooth and vascular, and contains in some instances a curdly or yellow-coloured, viscid fluid. The tumour produces great irritation, and gives rise to copious sanguineous discharges from the vagina. ff To these four distinct varieties of tumours of the uterus, none of which are malignant in their nature, and to which the term polypus has been applied, ought perhaps to