The genesis of carcinoma of the Fallopian tube in hyperplastic salpingitis, with report of a case and a table of twenty-one reported cases / by E. R. Le Count.

  • Le Count, H. R.
Date:
1901
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Licence: In copyright

Credit: The genesis of carcinoma of the Fallopian tube in hyperplastic salpingitis, with report of a case and a table of twenty-one reported cases / by E. R. Le Count. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    [58j causes the tumor-growth by its chemical irritation; he has observed three cases in which tumors of the bladder oc- curred in men employed in the manufacture of aniline dyes. Stoerk is inclined to lay strong emphasis upon gonorrhoea as an etiological factor, and Kaufmann has described the occurrence of multiple polypi in the ureter from the passage through it of faeces from a fistulous connection between the pelvis of the kidney and the duodenum. As an example of the question which so constantly recurs—tumor or inflamma- tion—and serving as an illustration of the apparent neces- sity to separate these conditions, the following quotation will answer:29 “The condition described might be classed both as chronic cystitis and as tumor. ... I am inclined to look upon the process as a chronic cystitis.” This is in con- cluding an article on Cystitis Papillomatosa, where the cysto- scopic examination left the observer in doubt. In the recent work by Cullen on Cancer of the Uterus, there is abundant evidence that a diffuse polypous hyperplasia of the uterine mucosa occurs and that this condition may be combined with carcinoma. The illustrations on pages 514 and 516 show its gross anatomy; some participation of the epithelium in the process is evident, since in many places it was many layers in depth in both cases, notwithstanding that no karyokinetic figures were found. Case 3,452 (p. 323) of “adenocarcinoma of the anterior cervical lip; commencing adenocarcinoma of the posterior lip, apparently independent of the former; papillary outgrowths of the uterine mucosa, with suspicion of commencing adenocarcinoma of the body of the uterus,” is a striking analogy with the polypous hy- perplasia with carcinomatous transformation observed in the intestinal mucosa and the urinary tract. Perhaps the best example of polypous hyperplasia described by Cullen is Case 6,659 (p. 401). Occurring in a young woman, aged 30, this author describes “ a very unusual polypoid condition,” in which “ the mucosa, as a whole, presents a most unusual picture, consisting of large polyp-like masses springing from all parts and completely1 filling the enlarged cavity.” His- 28 Cited by Stoerk. 29 F. Bierhoff, The Medical News, lxxvi, p. 810, 1000, Phil.