Gynecology (1916) (14592196760)
Summary
Identifier: gynecologygrav2 (find matches)
Title: Gynecology
Year: 1916 (1910s)
Authors: Graves, William Phillips, 1870-1933
Subjects: Gynecology Genital Diseases, Female Women Gynecology
Publisher: Philadelphia and London : Saunders
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School
Text Appearing Before Image:
rom an elderly woman who had carried the tumor for many years. The vulva wasdistorted and the cyst pressed on the urethra so as to interfere with urination. The cyst was dissectedout entire without rupturing it. There was no connection with the inguinal canal. large enough to be discernible on inspection, but can be felt between the thumband forefinger placed just inside the introitus. No matter how small the glandmay feel, if it is giving symptoms it should be excised, for nagging discomfort 148 GYNECOLOGY of the perineal region, from whatever cause, is liable to be a source of nervousirritation, which may develop serious consequences out of all proportion to thegravity of the original lesion. ENDOCERVICITIS Before taking up the gonorrheal infections of the endocervix and endometrium it is advis-able to review briefly several important facts about the structure of the cervix and body of theuterus which are not always sufficiently emphasized. It is a good plan to regard the fundus and
Text Appearing After Image:
Fig. 29.—Glands of the Cervix.Low power. The glands are shown in cross-section. They are lined by cylindric cells, thenuclei of which lie at the base, leaving a large amount of clear protoplasm. These glands lie in theconnective and muscular tissue of the cervix, not having a cytogenous connective tissue around themas do the glands of the endometrium. cervix of the uterus as two very distinct organs, which differ from each other more or lessessentially in their histologic structure, physiologic functions, and in the pathologic processesthat affect them. We shall have occasion often to refer to this fact as we proceed in the studyof uterine conditions. The mucous membrane of the cervix is very different from that of the fundus. In theendocervix the membrane is composed of complicated racemose glands, with small ducts empty-ing into the cervical canal. The epithelium lining the cervical glands is of the high cylindric INFLAMMATIONS 149 goblet-cell type. These glands secrete a true muc