274 Diseases of the Genital Organs 



ment to the ovary. Then draw out the diseased ovary 

 through the abdominal incision and remove it under ample 

 safeguards against hemorrhage. Cleanse the wound and 

 close the skin incision with continuous sutures. 



Benign Tumors of Oviducts, Uterus and Cervix 



Benign tumors of the oviducts, uterus, and cervix are ex- 

 tremely rare. I have in my collection no tumors of oviduct 

 or cervix and but two of the uterus — one a fibroid from a 

 cow, the other a myom from a mare. The tumor, from the 

 cow (Fig. 77) is from the abattoir, and hence without his- 

 tory. It is oblong, of even contour, measures 4x7 inches, 

 and is located near the apex of the cornu. The uterine walls 

 show no changes from its presence. 



The myom from the mare (Fig. 78) was unobserved until, 

 while at work, the tumor, which weighed eleven pounds, 

 became dislocated, and caused pain with expulsive efforts 

 of such violence that the tumor was forced out through the 

 vulva and could not be returned. The dragging upon the 

 uterus and its ligaments caused great suffering. The case 

 was entered in the clinic of my colleague, Frost. The tumor 

 was removed, the uterine wound sutured, and the uterus 

 returned to its position. The mare died a few hours later 

 of hemorrhage from the uterine artery, which was ruptured 

 by the violent dragging of the expelled tumor. The tumor 

 measures 5x11 inches. 



In one case of tumor of the uterus, diagnosed clinically as 

 a fibroid, the cow bred several times in the opposite horn, 

 but after the tumor had reached a diameter of 10 to 12 

 inches, she became sterile, probably owing to the presence 

 of the neoplasm. 



Benign uterine tumors may generally be diagnosed clini- 

 cally with reasonable assurance. Ordinarily the tumor 

 grows slowly, causes no discharge or irritation, is not pain- 

 ful upon manipulation, is usually very firm, and presents an 

 even contour. The malign tumor would generally give evi- 

 dence of its presence by the discharge of pus and necrotic 

 debris. The macerating lotus gives an irregular swelling. 



