The diagnosis, pathology, and treatment of diseases of womem : including the diagnosis of pregnancy / by Graily Hewitt.

  • Hewitt, Graily, 1828-1893.
Date:
1872
Catalogue details

Licence: Public Domain Mark

Credit: The diagnosis, pathology, and treatment of diseases of womem : including the diagnosis of pregnancy / by Graily Hewitt. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    uterine enlargement, were conclusive ; in the first of the cases, the rate of growth too was one of the points which were of im- portance. But we sometimes meet with cases where the uterus is lengthened, the tumour so close to the uterus as not to be separable from it; where the tumour grows slowly, and where, Fig. 127. nevertheless, the case turns out to be ovarian. When the tumour grows rapidly, this is in favour of its ovarian nature, but the ab- sence of this rapidity of growth does not prove the contrary. To mistake a uterine for an ovarian tumour is to commit an error of greater importance than a mistake of an opposite kind, for the reason that serious operations are undertaken when the tumour is supposed to be ovarian, which would not be contemplated if the tumour were considered uterine. The following are the most re- liable distinctive signs in a case presenting difficulty :— For ovarian tumours, are, rapidity of growth, impediment of the circulation in the lower extremities, evidenced by presence of oedema, varicose state of veins, severe constitutional disturbance, e. g. great weakness and debility, emaciation, and pelvic con- tinuous pain. These signs are in fact the signs usually present in cases of solid tumour of the ovary of cancerous nature, or in cases of cystic cancer, where the growth happens to be for a time stationary. Absence of such signs is, however, not so strongly evidence of a negative kind, for some chronic ovarian tumours give