Radium, Vol. 16: A Monthly Journal Devoted to the Chemistry, Physics and Therapeutics of Radium and Radio-Active Substances; March, 1921 (Classic Reprint) - Softcover

Viol, Charles H.

Softcover

ISBN 10: 1334521158 ISBN 13: 9781334521157

Publisher: Forgotten Books, 2024

Synopsis

Excerpt from Radium, Vol. 16: A Monthly Journal Devoted to the Chemistry, Physics and Therapeutics of Radium and Radio-Active Substances; March, 1921

Myoma U teri. - In the study of myomatous tumors, both in the consulting room, in the laboratory, and in the operating room, it has been fully attested that the symptomless tumor may remain quite innoc nous over an indefinite period and finally after the menopause cease to be even a tentative menace, but the percentage of such cases is really very small in the final clinical summary of these cases. First, as to the various changes and degeneration which may take place in the tumor itself. Of these, the malignant change has probably been chiefly stressed as an argument in favor of attacking all growths of this nature as soon as diagnosed. That this fear has been enormously magnified has been proved in the study of oved 850 cases in the gynecological laboratory by my associate, Dr. Charles C. Norris. A small ratio, not greater than 4 per cent, of cancer of the fundus may be found among myomatous uteri, but it is seldom, indeed, that these cases are not diagnosticated with great assurance on first consultation before even a curettage is performed.

A myomatous tumor is a constructive growth, merely building up in a disorderly fashion the normal muscular and fibrous tissues of the uterus. Consequently, so far as uterine bleeding is concerned, and this is the chief symptom upon which we rest our diagnosis of benignancy, it follows the normal physiologic law of periodicity. Therefore, when the normal menstrual flow is converted into a menorrhagia, even though stretched over several days, with clean - cut intermenstrual intervals of no bleeding or discharge, the clinical assumption in favor of benignancy is almost positive. On the other hand, cancer of the cervix or fundus is not of a constructive type of growth, and in creating its hemorrhagic symptoms deviates at once from the law of periodicity and begins to cause intermenstrual spotting, which very soon merges into a continuous flow with only the ebb and flood tide of the menstrual waves increasing and decreasing its output.

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Edition details

• Publisher: Forgotten Books
• Publication date: 2024
• ISBN 10: 1334521158
• ISBN 13: 9781334521157
• Binding: Paperback
• Language: English
• Number of pages: 32