The diagnosis be-
tween fibroma of the
ovary and myoma of
the uterus may be fairly
easy,provided it is pos-
sible to outline a per-
fectly normal uterus.
If, on the other hand, the uterus contains myomata, the
differentiation between the solid ovarian tumor and the myomata is well-nigh
impossible. The following cases illustrate this difficulty :
. A few cervical glands are dilated, otherwise the cervix is normal, a
is the distorted uterine cavity.
Occupying the fundus is a homogeneous
growth showing little structure.
At b it is hemorrhagic and is disintegrating.
At c the growth forms a nodular projection from the peritoneal surface. The
postoperative history indicated wide-spread lymphatic involvement in a few
months.
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