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Sarcoma of the female genitalia
631
ABSTRACTS
lar carcinoma of low maturity, 18 (55 per cent) ; glandular carcinoma of medium maturity, 10 (50 per cent) ; glandular carcinoma of high maturity, 9 (78 per cent) were cured. The author concludes that it is not possible to place a prognosis on the histologic picture of carcinoma of the cervix treated by radical operation. The clinical and not the histologic findings, as well as the radicalness of the operation decide the prognosis. The same thing holds true for adenocarcinoma of the body of the uterus.
WILLIAM F. MENQERT. London, 89:
B.: Sarcoma 194, 1931.
of the
Female
Genitalia.
Monatschr.
f. Geburtsh.
u. GynLk.
During the last eight years at the Breslau Woman’s Clinic there were 1,368 cases of carcinoma but only 19 sarcomas (1.4 per cent). In the series of 229 myomas which were removed there were 8 cases of sarcoma, an incidence of 3.4 per cent. Parity plays no r&e in the etiology of sarcoma, The affliction is most common in the fifth and sixth decades of life. Of the 19 sarcomas in this series 15 involved the uterus and 4 the ovaries. They were of the following types: round cell, spindle cell, giant cell, polymorphous cell, ripe cell and muscle cell. The notion of older authors that muscle cells become converted into sarcoma cells is false. The term “sarcomatous degeneration” is likewise incorrect. Robert Meyer calls all sarcomas the cells of which have a resemblance to smooth muscle ‘ ‘ sarcoma myocellulare. ” The only certain way to diagnose a sarcoma is by microscopic examination and in many cases curetted material alone is not sufficient for a diagnosis. This is in contrast to uterine cancer. Of the 19 sarcomas in the present series, 13 were subjected to operation. The clinical symptoms of sarcoma are not eharaeteristic. In most cases however, there was bleeding, softening of the uterus, rapid growth, pain, bladder and bowel disturbances, loss of weight and cachexia. There are two methods of treating sarcoma of the genitalia, namely operation and irradiation. The former does not yield good results because most patients die during the first year after operation. In the author ‘a clinic every operable case is operated upon and later irradiated. The inoperable cases are treated with J. P. GREENHILL. radium and roentgen rays. Moulonguet, Cyst.
P.: Bull.
Metrorrhagia After the Menopause Due to de la Sot. d’obst. et de gym%. 5: 342, 1930.
a Tumor or an Ovarian
In a monograph written in 1924, the author reported 50 cases of metrorrhagia which occurred after the menopause and which were caused by a tumor or a cyst of the ovary. Since that time he has operated upon five additional cases. In the service of Hartmann, he found 74 cases of cysts and tumors of the ovary among aged women and in 19 of these cases the tumors were associated with uterine hemorrhage. The tumors of the ovary may be large and easily recognized or they may be very small and therefore easily overlooked. In 45 of 50 cases the tumor was benign and in only 5 cancer of the ovary was present. The bleeding which accompanies these tumors has a nervous or vascular origin and not an hormonal one. Frequently the uterine mucosa is hyperplastic and not senile in type. The association of uterine hemorrhage and an ovarian tumor sometimes accompanied by ascites makes one feel that the condition is a malignant one and therefore hopeless. It is a mistake to think so, because an operation may be delayed when in reality operation will produce a complete cure. J. P. GREENHILL.
ABSTRACTS
lar carcinoma of low maturity, 18 (55 per cent) ; glandular carcinoma of medium maturity, 10 (50 per cent) ; glandular carcinoma of high maturity, 9 (78 per cent) were cured. The author concludes that it is not possible to place a prognosis on the histologic picture of carcinoma of the cervix treated by radical operation. The clinical and not the histologic findings, as well as the radicalness of the operation decide the prognosis. The same thing holds true for adenocarcinoma of the body of the uterus.
WILLIAM F. MENQERT. London, 89:
B.: Sarcoma 194, 1931.
of the
Female
Genitalia.
Monatschr.
f. Geburtsh.
u. GynLk.
During the last eight years at the Breslau Woman’s Clinic there were 1,368 cases of carcinoma but only 19 sarcomas (1.4 per cent). In the series of 229 myomas which were removed there were 8 cases of sarcoma, an incidence of 3.4 per cent. Parity plays no r&e in the etiology of sarcoma, The affliction is most common in the fifth and sixth decades of life. Of the 19 sarcomas in this series 15 involved the uterus and 4 the ovaries. They were of the following types: round cell, spindle cell, giant cell, polymorphous cell, ripe cell and muscle cell. The notion of older authors that muscle cells become converted into sarcoma cells is false. The term “sarcomatous degeneration” is likewise incorrect. Robert Meyer calls all sarcomas the cells of which have a resemblance to smooth muscle ‘ ‘ sarcoma myocellulare. ” The only certain way to diagnose a sarcoma is by microscopic examination and in many cases curetted material alone is not sufficient for a diagnosis. This is in contrast to uterine cancer. Of the 19 sarcomas in the present series, 13 were subjected to operation. The clinical symptoms of sarcoma are not eharaeteristic. In most cases however, there was bleeding, softening of the uterus, rapid growth, pain, bladder and bowel disturbances, loss of weight and cachexia. There are two methods of treating sarcoma of the genitalia, namely operation and irradiation. The former does not yield good results because most patients die during the first year after operation. In the author ‘a clinic every operable case is operated upon and later irradiated. The inoperable cases are treated with J. P. GREENHILL. radium and roentgen rays. Moulonguet, Cyst.
P.: Bull.
Metrorrhagia After the Menopause Due to de la Sot. d’obst. et de gym%. 5: 342, 1930.
a Tumor or an Ovarian
In a monograph written in 1924, the author reported 50 cases of metrorrhagia which occurred after the menopause and which were caused by a tumor or a cyst of the ovary. Since that time he has operated upon five additional cases. In the service of Hartmann, he found 74 cases of cysts and tumors of the ovary among aged women and in 19 of these cases the tumors were associated with uterine hemorrhage. The tumors of the ovary may be large and easily recognized or they may be very small and therefore easily overlooked. In 45 of 50 cases the tumor was benign and in only 5 cancer of the ovary was present. The bleeding which accompanies these tumors has a nervous or vascular origin and not an hormonal one. Frequently the uterine mucosa is hyperplastic and not senile in type. The association of uterine hemorrhage and an ovarian tumor sometimes accompanied by ascites makes one feel that the condition is a malignant one and therefore hopeless. It is a mistake to think so, because an operation may be delayed when in reality operation will produce a complete cure. J. P. GREENHILL.