Outlines of the diseases of women / by John Phillips.

  • Phillips, John.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of the diseases of women / by John Phillips. Source: Wellcome Collection.

    192/332 (page 172)
    CHAPTER XIV. AFFECTIONS OF THE UTERUS—(continued). VII. Malignant Disease. Malignant Disease of the uterus may occur in the form either of cancer or sarcoma, and it may attack—first, the cervix; or second, the body. When we speak of malignant disease of the uterus, we imply as a rule that the cervix is primarily affected; this is in conse- quence of 98 per cent of all cases originating in that organ; the body of the uterus may be attacked secondarily to the cervix, but in only 2 per cent, primarily. (a) Op the Cervix. (1) Causation.—Cancer appears to be most frequent during a woman's chilcl-beaving period—i.e., from 25 to 40 years of age— but statistics seem to show that it is not uncommon as late as 60. It does not occur before puberty, and rarely until after 20. Anything which tends to lower the general bodily health should be considered as a predisposing cause : it is more frequent among the poor than the rich. Women with large families are certainly more liable to it than nullipara? : there seems some foundation for the supposition that lacerations of the cervix up to the vaginal roof may act as starting-points of the disease, possibly by irritation. The influence of hereditary taint seems to be over-estimated. Black races enjoy a comparative immunity from cancer. (2) Pathology.—Malignant disease of the cervix may occur either as— it. Glandular or malignant adenoma; (a) Carcinomata. j 2. Epithelioma, usually squamous ; (3. Scirrhus and Encephaloid more rarely. (13) Sarcoma, extremely rarely. Glandular Carcinoma arises by proliferation of the gland tissues