Gynecological And Obstetrical Monographs volume 10
Gynecological And Obstetrical Monographs volume 10
Ill Library Northwestern University Evanston
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The term "grape- like" was suggested by Pfannenstiel in 1892, although it was not then recognized that the cystic spaces in the tumor were due to edema from the rapidly growing sarcoma. (b) ARISING FROM THE FIBROMUSCULAR COAT OF THE CERVIX. This form is very rare. It may arise as a primary growth or as a malignant degeneration of a preexisting fibroid. The latter are at first circum- scribed but may break through and present upon the surface as a more diffuse growth. In the diffuse form, the mu...cosa may be entirely involved but usually the vaginal portion of the cervix shows the most extensive invasion. The cervix appears greatly hypertrophied and infiltrated and its surface may be covered with irregular vegetations which resemble very closely carcinoma. The circumscribed type may be either sessile or pedunculated, the former appearing as an irregular vegetating growth which arises from either the anterior or posterior lip. Piquand states that this form may be differentiated from a car- cinoma by its greater softness and size.
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