A Text-book of Diseases of WomenPenrose, Charles B. (Charles Bingham)
Science
A Text-book of Diseases of Women
Penrose, Charles B. (Charles Bingham)
Women -- Diseases
These red patches are larger than the surface of the everted mucous
membrane of the cervical canal; they are continuous with, but extend
beyond the limits of, this mucous membrane. It is said that this
increase is occasioned by proliferation of the epithelium that lines
the cervical glands.
As a substitute for the misleading term “ulceration,” applied to this
condition, there have been proposed the terms “erosion,” “ectropion,”
or “eversion” of the mucous membrane, and “catarrhal patch.”
A true ulcerated surface is sometimes found on a lacerated cervix as a
result of excessive irritation, but such a condition is rare.
As the laceration occurs in the cervix before involution has begun,
this process is impeded, so that a state of subinvolution of the cervix
results, and the part remains hypertrophied or much larger than normal.
The cervical glands share in this condition of subinvolution, retaining
much of the increased size and activity that are normal in the pregnant
state.
Changes due to chronic congestion and inflammation also take place. The
connective tissue increases in amount, and the cervix becomes hard,
indurated, or sclerotic.
The racemose glands, which open upon the cervical mucous membrane,
become inflamed, and, as a result of change in the consistency of the
glandular secretion or of obstruction of the gland-orifices, retention
takes place, with the production of small cysts called Nabothian cysts.
Such cysts often extend peripherally, so that the distal end of the
occluded gland approaches the vaginal aspect of the cervix, and appears
beneath the mucous membrane as a translucent vesicle about the size of
a small pea. Puncture of such a vesicle permits the escape of a drop of
gelatinous fluid.
The whole of the body of the cervix may be filled with innumerable
cysts of this kind, of varying size. When projecting beneath the mucous
membrane they feel like small shot imbedded in the cervix. A cervix
in this condition is said to have undergone cystic degeneration. The
inflammation of the lower exposed portion of the mucous membrane of the
cervical canal extends upward, so that a condition of general chronic
cervical catarrh results. This exceedingly common disease is usually
caused by laceration of the cervix.
The focus of continuous irritation in the cervix interferes with the
normal involution of the body of the uterus, so that there occurs a
condition of uterine subinvolution, which may be the cause of the chief
symptoms with which the woman suffers. The endometrium shares in the
subinvolution, and, as a consequence of this, and perhaps also from
extension of inflammation from the cervical mucous membrane, various
forms of endometritis may occur.
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