On the cancer of the uterus : being the Harveian Lectures for 1886 / by John Williams.

Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: On the cancer of the uterus : being the Harveian Lectures for 1886 / by John Williams. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    but delivery was accomplished without the use of instru- ments. It was followed by a flooding. After this she says that she had inflammation of the womb and bowels. In her fourth confinement she was delivered of twins. She has had no miscarriages. The father died of asthma; the mother of a cause unknown to the patient ; one sister died of cancer of the womb. The patient was fairly nourished; the heart and lungs were healthy. The cervix of the uterus was flattened and circular, almost like the head of a mushroom. There was a deep laceration in the left commissure, but the interior and posterior lips and the right commissure were not torn. The cervix was amputated just above the internal orifice. The portion removed was an inch and a half in length. The posterior lip was the seat of a papillary growth one inch in diameter. There was a narrow strip of healthy mucous membrane between the disease and vaginal vault posteriorly. The vaginal canal appeared healthy. On microscopic examination it was found that in places the superficial layers of the stratified epithelium were lost and the deeper layers were exposed ; in other places the superficial layers were retained, and the deeper layers were thickened and presented a wavy border. These deeper proliferating layers sent processes into the subjacent tissues, which formed strings and groups of cells and typical nests. In the portio vaginalis no glands were found, but in the neighbourhood of the os externum many were met with, and these presented the characters of those found in an erosion. Among the glands were found in another specimen in many places groups of cancer cells, the glands themselves remaining healthy ; c