Chest complications in abdominal disease : a study in diagnosis : the first Hunterian lecture of the Hunterian Society session 1901-2 / by J. Mitchell Bruce, M.A., L.L.D., M.D., F.R.C.P.

  • Bruce, J. Mitchell (John Mitchell), 1846-1929
Date:
1902
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Licence: In copyright

Credit: Chest complications in abdominal disease : a study in diagnosis : the first Hunterian lecture of the Hunterian Society session 1901-2 / by J. Mitchell Bruce, M.A., L.L.D., M.D., F.R.C.P. Source: Wellcome Collection.

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    played in the submucous variety, for as it grows it pushes the body of the uterus, which is perched on its upper pole, high into the abdomen and in the case of very large tumours the fundus of the uterus can be detected as high as the navel. The topography and shape of this kind of tumour are best displayed when the parts are sectioned in a sagittal direction. The ovoid shape of cervix fibroids is determined by the osseous boundaries of the true pelvis. Tn a normal female pelvis the pelvic diameters at the Fig. 6.—A diagram to show the relation of an intracervical fibroid to the cervical canal. level of the middle of the cervix measure, with the soft parts in position, about ten centimetres (four inches) ; thus the lower segment of a large cervix fibroid is a solid cast of the true pelvis. In one of my specimens the minor (transverse) axis of the tumour measured 12*5 centimetres, this excessive measurement being due to the slow but steady expanding effects of the tumour on the bony walls of the pelvis. It is well to bear in mind that the oval condition of the vaginal pole of a large cervix fibroid corresponds with the shape of the occiput of a