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
What effect does pregnancy have upon the growth of these tumors? It
might be supposed, from the plentiful supply of blood afforded them by
the growth of the vascular system of the uterus, and from the fact of
their being situated in and surrounded by tissues in a state of active
hypertrophy, that the tumors would grow in a corresponding degree with
the uterus itself; but this is not generally, if it is ever, the case.
I have not witnessed a decided increase in the size of the tumor in any
of my cases. Pregnancy usually produces the opposite effect; and this
can be easily understood when we remember that the tumor is subjected
to great {257} and uniform pressure, which prevents its own circulation
from becoming as great as it otherwise would be; and I think this
pressure often inaugurates a retromorphosis that results in the final
disappearance of the tumor. Whether degeneration begins during
pregnancy or not, the tumor is very apt to disappear after pregnancy
and labor. In six of my own cases the tumor disappeared by a slow
process of some kind after labor. Speculating as to what might be,
another apprehension of danger arises out of the tumultuous excitement
and terrible pressure to which it is subjected during the throes of
parturition. But this apprehension is rarely if ever realized.
TREATMENT.--The treatment of fibrous tumors of the uterus consists
largely of the means calculated to relieve such symptoms as endanger
the life of the patient or materially affect her general health. When
these are unavailing resort is had to measures calculated to get rid of
the tumor. Some remedies necessary to the relief of symptoms act as
very powerful curative agents; hence, while it is convenient to speak
of the treatment of symptoms under one division of the subject, and the
methods employed for radical cure under another, we cannot, in fact,
completely separate these two branches.
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