INTRAMURAL FIBROIDS AND FIBROID TUMORS

INTRAMURAL FIBROID BEING TAKEN OUT

Intramural Fibroids are the fibroids in which the new tissue is confined to the walls proper of the uterus, but in which several distinct centers of development are apparent to the naked eye.
While each center may possess several nuclei, the manner of growth is not uniform throughout the uterine walls.
This fibroids have variety makes the uterus irregular and the direction of the canal uncertain.
The fibroid has separate distinct centers of development, as felt through the uterine tissue, are much firmer and less elastic than the new tissue, which makes the typical interstitial variety.
Its out surface frequently exhibits to the naked eye, white cartilaginous centers surrounded by loose connective tissue; these centers are often easily enucleated from the muscular tissue of the walls of the uterus.
From the standpoint of gross anatomy this variety is distinct and unique.
The intramural fibroid is much less liable to develop into very large tumors, because of their tendency to become pedunculated.

Intra-mural fibroids originate in the very substance of the pa- rietes of the uterus itself, within the muscular interstices.
This fibroids may occur equidistant from the external and internal surfaces of the uterus, or at any point between them.
The proper tissue of the organ does not enter into their composition; it is merely pushed aside by the tumour, the muscular fibres being separated and surrounding the tumour like a cyst.

INTRAMURAL FIBROID TUMORS

This remark, however, does not apply to fibroid tumors after they have assumed a malignant character, and have become medulla , as the uterine tissue itself loses its normal character also. But when the tumor has not thus degenerated, and when there has been no inflammation during its growth, the uterine covering can usually be peeled off from its surface as the rind from the pulp of an orange.
Of course, these tumors have no pedicle.

As a general rule, the fibroid growth is less rapid than extra-uterine tumors. Sometimes they develop them- selves uniformly, at others unevenly, so as to assume a lobulated or nodulated form.

It is supposed that these tumours admit of no remedy.

I shall endeavor to prove that these fibroids are amenable to surgical treatment. The symptoms of this class of fibroid tumors must necessarily partake of the character of those belonging to the first, and also of those incident to the early stages of the second class.