Volume 2

Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton-Jones.

  • Macnaughton-Jones, H. (Henry), 1844-1918.
Date:
1904
Catalogue details

Licence: In copyright

Credit: Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton-Jones. Source: Wellcome Collection.

    20/522 (page 618)
    others; why cases in which the primary growth is in the \agina aie less malignant than the uterine cases; why metastases should dis- appear after the removal of the primary growth alone; and, lastly, why, in one remarkable case recently recorded by I leischmann, partial removal of the primary growth should be followed by dis- appearance of the remainder and complete recoveiy. Diagnosis and Treatment.—Chorion-epithelioma should be sus- pected if bleeding follow the expulsion of a vesicular mole, or return after curettage for imperfect expulsion of the ovum. In these instances a thorough digital examination of the interior of t e uterus should be made. A valuable indication may be afforded m malignant disease by the profuse nature of the haemorrhage attend- ing the performance of curettage. In those rare cases, already referred to, in which the primary growth is situated deeply m the wall of the uterus, or in some distant organ of the body, uterine haemorrhage is absent. It must not be forgotten that simple retention of placental tissues may give rise to symptoms like those of deeiduoma, and that the risk of performing needless radical operation is considerable. Case of Recurrent Haemorrhage after Molar Abortion - Symptoms Simulating those of Deeiduoma Malignum., The following case shows the difficulty of diagnosis as well as piognosis in certain forms of prolonged discharge associated with molar pregnancy. * In regard to metastases due to chorion-epithelioma, Zagorjanski of Kissel (ArcUv. f. Gyn., bd. lxvii., heft 2) reports cases in which the lung symptoms disappeared after the removal of chorion-epitheliomatous nodu es 10“ vagina. Agreeing with Pick, he arrives at these conclusions :-»ueht ernbol have been observed in the lungs, brain, kidneys, utenne muscu osa, frequently in the vagina (seven times out of eleven) No instance of the: spon- taneous cure of a chorion-epithelioma by autonomic elimination with the placen or mole has been demonstrated; on the other hand, the possi >1 l y o i P taneous retrogression of chorion-epitheliomatous growths cannot he alt0Se rejected (cases cured without any operation or after a very incomplete on ). For chorion-epithelioma to be malignant it is essential that the phys „ ■■ resistance of the tissues of the body to invasion should be diminished destroyed; the restoration of that resistance puts an end to the growth ot the tumour In this way, in case of chorion-epithelioma of the vagina and lungs, after the removal of the vaginal growth the lungs may recover spontaneous j , and this in spite of the negative result given by the sputum, wo mus - PP to have^aken*place in the ^ase above mentioned. During pregnancy nodules of chorion-epithelioma iu other parts of the body than the uterus an . P to the presence of an hydatid mole. Every case of primary “ 5“ epithelioma after normal labour hitherto recorded has had a fatal terminate . t lieported by the author, Brit. Gyn. Jour., 1902.