Contributions to the morbid anatomy of chronic inflammation of the mucous membrane of the uterus (endometritis corporis chronica) / by Leopold Meyer.

  • Meyer, Leopold, 1852-1918.
Date:
1887
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Licence: Public Domain Mark

Credit: Contributions to the morbid anatomy of chronic inflammation of the mucous membrane of the uterus (endometritis corporis chronica) / by Leopold Meyer. 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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    ENDOMETRITIS CORPORIS CHRONICA/ \From the Annuls of Gyua-cology, Kov. and Dec., 1SS7, Boston, U. /3 CONTRIBUTIONS TO THE MORBID ANATOMY OF CHRONIC INFLAMMATION OF THE MUCOUS MEMBRANE OF THE UTERUS {ENDOMETRITIS CORPORIS CHRONICA). BY I.EOPOLD MEYER, M.D. (COPENHAGEN, DENMARK). Read before the Gynecological Section of the Ninth International Medical Congress. I. The Interglandular Tissue. During the last half-score of years, since investigators have begun to take a more lively interest in the pathological anatomy of Chronic Endo- metritis, they have especially endeavored to draw up different forms of this disease. They formerly distinguished between a glandular, an inter- stitial, a mixed, and a vascular form ; but it very soon became ai3parent that it was only possible in very few case's to classify the disease under one or other of these forms ; nay, we often found in the mucous membrane of the self-same patient some parts that must belong to one of these forms, and others that belonged to another. In these investigations the inquirers chiefly took heed of the relations of glands, blood-vessels, and lymphatics, whilst but slight attention was bestowed on the more intricate construction of the interglandular tissue. Some, especially Wyder^ denied that Decidua-cells could be found in the mucous membrane of the uterus, ex.^ cept during pregnancy ; others, chiefly C. Ruge^^ assert that we can find them during the course of an Endometritis, especially that Endometritis which accompanies myomata uteri. Schroder ^ lays down a form of Endo- metritis (E. dysmenorrhoica) distinguished by peculiar symptoms, where there are strong bands of fibrillous connective tissue in the interglandular tissue. But, generally, the interglandular tissue is dismissed with such re- marks as, that it, as usual, consisted of closely-packed cells with small, round, or spindle-shaped nuclei, that almost filled up the cell, — or some such ex- pressions. Heinricius* * alone gives the following description, accom- panied by a drawing, of the construction of the interglandular tissue in Chronic Hyperplastic Endometritis (E. fungosa) : The stroma consists of a net of meshes formed by cells, with thin,- star-shaped processes communicating with each other. The nuclei of these cells are irregular or triangular, 5-12 micromillimetre (/“) long, 2.5-5 ^ broad. In the meshes there are two species of nuclei: large, oval, slightly stained ones, 'Arch. f. Gyn. Bd. II. Pag. i-SS- . ’ Ctrbl. f. Gyn. i88i. No. 12. • Zeitschr. f. Gcburtsh. u. Gynaekol. Bd. X. Pag. 441. ‘Arch. f. Gyn. Bd. 28. Pag. 203.