Fibromyoma of the uterus complicated by cancer or sarcoma : with report of thirty-five cases / Ellice McDonald.

  • McDonald, Ellice, 1876-1955.
Date:
1909
Catalogue details

Licence: In copyright

Credit: Fibromyoma of the uterus complicated by cancer or sarcoma : with report of thirty-five cases / Ellice McDonald. 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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    FIBROMYOMA OF THE UTEBUS COMFLI- CATED BY CAXCEB 0 Tlie careful study of fibroid tui . tlie last few years has sliown that these tumors are not the benign innocuous growths they were once believed to be. Each succeeding series studied shows more clearly that the dangers of these growths are not only from the symptoms produced by the tumors themselves, such as heinorrhage. etc., but also from the complica- tions and degenerations incident to their continu;-d presence in the uterus. The most important change or complication which may occur in these fibroid growths is their association with malignant changes either in the tumor itself or in its host, the uterus. This malignant change or asso- ciation has a very direct bearing on the treatment of these tumors in that, if it can be proved that there is a large percentage of malignancy in the growths or de- pendent on their presence in the uterus, a weighty argu- ment has been made in favor of early operation and re- moval. This malignant complication may occur in two ways, either as a direct degeneration in the tumor itself, as in sarcomatous degeneration, or as an association of can- cerous or sarcomatous disease in a uterus already the host of a fibroid tumor. It is difficult in some cases to decide whether a fil)roid tumor has previously e.xisted in a uterus which is now the seat of extensive malignant disease, for the destruc- tive malignant lesion may have caused a disappearance of the fibroid growth or the growth itself may have WITH KMPORT OF THIRT'! ELLICE IMcDONALE NEW YORK