Gynaecology for students and practitioners . new growth. C, Large solid growth in left broad ligament.D, Cystic part of growth in left broad ligament. The patient was free fromrecurrence five years after operation. women are most prone to uterine sarcoma. One-fourth of the patientsare nuUiparous and three-fourths parous. As previously stated, sarcoma attacks the body of the uterus moreoften than the cervix, differing sharply in this respect from cancer.It also forms a much larger tumour than cancer, and so occasions muchgreater enlargement of the uterus. Usually the enlargement is fairlysymmet
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Gynaecology for students and practitioners . new growth. C, Large solid growth in left broad ligament.D, Cystic part of growth in left broad ligament. The patient was free fromrecurrence five years after operation. women are most prone to uterine sarcoma. One-fourth of the patientsare nuUiparous and three-fourths parous. As previously stated, sarcoma attacks the body of the uterus moreoften than the cervix, differing sharply in this respect from cancer.It also forms a much larger tumour than cancer, and so occasions muchgreater enlargement of the uterus. Usually the enlargement is fairlysymmetrical, but may be irregular if the growth projects beneath theperitoneal coat, or if fibroids are also present. Vesicular sarcoma, when it occurs in the cervix, is easy of recognition by direct examination. The symptoms to which sarcoma gives rise are hmmorrhage, dis- SARCOMA OF THE UTERUS 513 charge and pain ; it will therefore be apparent that the symptoms do notallow of its being distinguished from cancer {see p. 338). The bleeding is ^6.. Fig. 263. Section of Perithelioma of the Uteris. (DoranandLockyer.)showing the microscopic appearances of tumour in Fig. 262. B.V., Blood-vessel ; L.E., Lymphatic Embolus ; P.G., Peritheliomatous Growth ; M., Uterine Muscle ; T., Tubules from Mucosa. irregular, or continuous, but is seldom profuse. Before the menopausethe first indication of haemorrhage may be progressively increasingmenorrhagia. The discharge is watery and blood-stained, and becomes