684 



THE REPRODUCTIVE ORGANS OF THE FEMALE. 



In rare cases the entire wall of the uterus is infiltrated with the new 

 growth and the organ is much enlarged. Gelatinous earcinoma sometimes 

 occurs, but is rare. 



While we may for convenience recognize the above types of carcinoma 

 of the uterus, it should be borne in mind, as above stated, that they are 



FIG. 438. CARCINOMA OF THE UTERUS. 

 Medullary type. 



often not distinct, and may merge into one another or exist simultane- 

 ously. Exudative inflammation is of frequent occurrence in these as in 

 other tumors of the uterus. 



As a result of the ulceration of these various forms of carcinoma recto- 

 vaginal fistulse may be formed ; the lumbar lymph-nodes may be involved, 



FIG. 439. FRAGMENT OF DECIDUA IN CURETTINGS FROM THE UTERUS. 



and metastases in distant organs are occasionally though not often 

 formed. Frequent and profuse haemorrhages, gangrenous destruction of 



