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On cross section, the surface was smooth and fibrous.

The growth extended into the perivaginal cellular tissue the right and posteriorly. The uterus.

was small, body and cervix unchanged, the cavity one and a half inches deep. The adnexa were generally adherent, and Douglas's fossa contracted. The right tube and ovary could freed from the adhesions, and were unchanged.

The left tube was dilated, the left ovary unrecognizable. The bladder was healthy, the urethra was slightly pushed the left the growth. Kaschewarowa found in the examined sections all the developmental forms striated muscular fibre. The muscular elements were arranged here and there parallel one another, and bound together in a species bundle in other places they were intermingled with myxomatous tissue. The surface the growth was covered with flat epithelium. The mucous membrane contained neither papilla nor characteristic cellular tissue or muscular elements, but these custom written dissertations elements were scattered throughout the layer the tumor under the epithelial stratum. Kaschewarowa concluded, hence, that the tumor had probably had its origin from the mucous membrane. research paper for sale online Klebs, seeing that was able follow the young muscular fibres the paravaginal tumor into those which belonged the levator ani, concluded with a greater show reason that there existed rather a hyperplasia of normal muscular tissue. Thence there arose growth the interstitial and muscular elements, some becoming homework help chat with tutor myxomatous, others striated thesis writing muscular fibres deprived the sarcolemma, while the more recent intravaginal portions contained only spindle cells. The striated young spindleform muscular cells, detected Kaschewarowa and also Treitz and Eppinger, in sections from the fresh preparation, were not found Klebs in Myxomatous Rhabdomyoma the Vagina.

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Hartnack, the alcoholic specimen. Neither can I find them in the sections kindly furnished Eppinger. I find, however, young striated cylinders next the muscular bundles, as shown in the illustration. In the diagnosis vaginal tumors this peculiar arrangement must be remembered, write my paper for money and account their rapid growth they suggest the possibility the existence the malignant soft sarcoma. Indeed, in a case Hauser's, primary sarcoma the vagina in ghost writer for college papers a two year old child, the same long striated spindle-cells were found, passing into young striated muscular fibres.

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In such instances complete extirpation down the base the growth indicated, and as whether the knife, scissors, ligature, or galvano-cautery preferable will depend the peculiarities In addition the not uncommon condylomata which are found in the vagina, generally as the result a virulent catarrh, and which, particularly in the gravid, often develop greatly, there are a few cases recorded diffuse papillomatous degeneration the vaginal mucous membrane. The papillary excrescences described Klob are not properly tumors, but simple hyperplasia the papillae in the neighorhood ulcers, analogous the enlargement the villi around ulcers the intestine. Although in these formations are dealing with simple lengthening of papillae inflamed surfaces, Miillerklein, Marsh, and Crook have described characteristic forms new growths, the histological formation of which has not been definitely stated. They are, however, differentiated their clinical phenomena.

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