Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . a myoma may be invadedby a sarcoma; Figure 102 represents the anterior viewof a myomatous uterus showing two submucous nodules,which on section proved to be large round-celled sarcomas.These nodules were covered by a large blood-clot, whichfilled the uterine cavity at the time of operation. A coronal section throuo;h the meridian of a laro-emyoma in the posterior uterine wall of this specimen alsoshowed several rounded areas of yellowish, opaque, homo-geneous sarcoma. These areas co

Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . a myoma may be invadedby a sarcoma; Figure 102 represents the anterior viewof a myomatous uterus showing two submucous nodules,which on section proved to be large round-celled sarcomas.These nodules were covered by a large blood-clot, whichfilled the uterine cavity at the time of operation. A coronal section throuo;h the meridian of a laro-emyoma in the posterior uterine wall of this specimen alsoshowed several rounded areas of yellowish, opaque, homo-geneous sarcoma. These areas co Stock Photo
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Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . a myoma may be invadedby a sarcoma; Figure 102 represents the anterior viewof a myomatous uterus showing two submucous nodules, which on section proved to be large round-celled sarcomas.These nodules were covered by a large blood-clot, whichfilled the uterine cavity at the time of operation. A coronal section throuo;h the meridian of a laro-emyoma in the posterior uterine wall of this specimen alsoshowed several rounded areas of yellowish, opaque, homo-geneous sarcoma. These areas contrasted sharply with thewhorled appearance of the myomatous tissue. There wasa metastasis in the broad ligament on the right side. The microscopic appearances are seen in Figure 103, Plate XXVII. The round sarcoma-cells are packed in largealveoli which have formed in the myomatous tissue. Thelatter appears to have undergone no responsive change. Plate XXVII 1 FiGiKK loo. Showing a sarcomatous area endin^ the hyaline tissue of a myoma. The inset i-; a iliaof the naked-eye appearance ot the microscopic slide.. Figure loi. Showing trabecular arrangement of hyaline tissuewhich has left spaces in which the muscle-cells can swellup and undergo sarcomatous metaplasia. Fig. 103. ^M^ m- Figure 103. Showing invasion of a myoma by a coexistingsarcoma. In the right hand lower alveolus the cells areshown under i in. obj. No. 3 eye-piece. (Section of growthshown in figure 102.) To FACE PAGE 88 SARCOMATOUS CHANGE The inset shows the cells under ^ inch objective. Thereis no sign that the myoma-cells are undergoing malignantmetaplasia. It appears to be a case of a definite invasion,