A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Science
A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Medicine -- Practice
LOCATION OF THE TUMOR.--For the purpose of considering the relation of
these tumors to the different regions of the uterus we may call that
part situated above the entrance of the Fallopian tubes the fundal
zone, and that above the internal os uteri the corporal zone; all below
this the cervical zone. Fibrous tumors may and do originate in all of
these zones or regions, but they spring more frequently from the
corporal {249} than either of the others, and less frequently from the
fundal zone. The part of the corporal zone in which these tumors more
frequently grow is the lower or cervical portion. There is another
important view of the relation of the tumors to the uterus. The
muscular fibres of that organ run in every direction with reference to
the latitude and longitude of the uterine circumference--transversely,
longitudinally, obliquely, spirally, etc. There is probably not much
more definiteness in the layers constituting the walls of the uterus.
If they cannot be completely separated into regular strata, there is
sufficient distinctness in the layers to justify us in employing the
term strata in connection with their arrangement, and this term will
enable us to get a more exact understanding of the language used in the
description of tumors. Authorities differ as to the exact number of
strata to be found in the body of the uterus, but for clinical purposes
it is convenient to describe them as follows: By drawing a line through
the middle of the uterine wall longitudinally we will indicate a
central stratum of fibres. A tumor originating in that line or stratum
is what is usually called an intramural tumor. The number of tumors
growing in this stratum is not very great as compared with those
situated nearer the two surfaces.
[Illustration: FIG. 25. Diagram showing Muscular Strata of Uterus, as
divided for clinical purposes.]
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