Some considerations of cancer of the body of the uterus

172

AMERICAN

JOURNAL

In discussing this report, he had seen two instances women.

OF

OBSTETRICS

Clemmey of cartviral

mentions cancer

AND

QYNECOLOQY

that while working in East Africa, wit,h complete procidentia in native EHRENFEST.

HUGO

Oyarzun, v ginee.

Romeo Cadiz: 11: 7, 1937.

Primary

The author states that, cent of all genital cancers. treatment in Grades 1 and

Cancer of the Vagina,

primarycancer of the vagina Four cases are reported. The 2 types of cancer of the vagina.

Bol.

Sot.

occurs author MARIO

Pund,

Edgar,

(Granuloma

and

Greenblatt,

Inguinale)

ehilena

de obst.

in only prefers

2.3 per surgical

A.

CASTALLO.

Granuloma Venereum of Cervix Uteri Carcinoma, J. A. M. A. 108: 1401, 1937.

Robert:

Simulating

A heretofore unrecognized entity, granulomn venereum of the cervix, clinically simulates carcinoma of the cervix. Since the involvement by the Donovan body occurs elsewhere than in the groin and on the external genitalia, the name of granuloma venereum is preferable. It is characterized clinically by a tuft of reddish meaty tissue, raised above the surface, clean in appearance, velvety soft and resilient to palpation, and it does not bleed readily to touch. Histopathologically, the essential features are the exuberant granulation tissue reaction in which the pathognomonic cell is found. This cell is a large mononuclear cell with intracytoplasmie spaces in which are dispersed the so-called Donovan bodies. The aflinity of the intracystic bodies for silver salts facilitates the recognition of the characteristic cell. With silver these bodies are stained black to brown and have a safety pin appearance because of their elongated ovoid outline and intense bipolar staining reaction. GROVER LIES?. Keller, R., and Meyer, P.: Some Considerations of Cancer of the Body of the Uterus, Rev. frana. de gym+. et d’obst. 34: 149, 1939. The authors observed 82 oases of diagnosis was made by means of a curettement. Of the 82 patients, 55 therapy and three were not treated. operation was 17.8 per cent and for incidence of cure for all the methods treated by radiation alone of whom a cure rate of 35.7 per cent.

cancer of the body of the uterus in which the histologic examination of tissue obtained by were subjected to operation, 24 had radiation The postoperative mortality for the abdominal the vaginal operation 3.8 per cent. The total of treatment was 53.4 per cent. The patients there were only 14 inoperable cases, yielded

The treatment of choice in operable cases of carcinoma of the body of the uterus is operation. If the patient is in good condition, the operation should consist of total abdominal hysterectomy with removal of the adnexa. In patients with low resistance and in very old women, a vaginal hysterectomy should be performed. Inoperable cases should be treated by radiation therapy. J. P. GREENHILL. Handley,

R. S., and Howkins,

John:

Sarcoma

of the Uterus,

Lancet

2: 1246,

1937. In a study of sarcoma of the uterus 40 cases are discussed. Sarcoma represents 1 per cent of the mesodermal tumors of the uterus reviewed and 2 per cent of the malignant tumors of the uterus. Treatment advised consists of a panhystereetomy with wide excision and the simultaneous removal of both appendages. This should be followed by deep x-ray therapy in all cases. Of 25 patients operated upon more than five years ago, 4 are alive and well, and one is alive but dying of a recurrence. The frequeney of mitotic figures in a tumor is found to be the Little correlation between histologic cell most reliable factor in the diagnosis. type and prognoeis could be demonstrated. CARL

P.

HUBER.