Articoli correlati a A text book on the practice of gynecology for practitioners...
Sinossi
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1906 Excerpt: ...the physical characteristics of the original growth are more or less preserved. Cancer of the ovary may extend to the peritoneum, the uterus, the lymphatic vessels and glands, and to the connective tissue of the pelvis, or metastases may occur in distant organs. As in cancer of other pelvic organs, the disease may involve the ureters or the rectum and cause uremic symptoms or stricture of the bowel. Causes.--Ovarian carcinoma is more frequently observed between the ages of thirty and sixty years than at any other time of life. The disease, however, may occur before puberty, and cases have also been met in very old women. Primary cancer, which is rarer than the secondary form of the disease, develops more frequently in an ovarian neoplasm than in a normal ovary. Symptoms.--In the beginning the symptoms are the same as those of benign neoplasms of the ovary. Later on, however, the following symptoms are characteristic of the malignant nature of the tumor: Rapid growth, ascites, chronic peritonitis, edema of the feet and lower limbs, cachexia, and gradual loss of strength and weight. Cancerous tumors of the ovary grow more rapidly than benign neoplasms and they are associated early in the course of the disease with ascites and chronic peritonitis. The ascitic fluid is usually mixed with blood and it frequently causes marked abdominal distention. The peritonitis is subacute in character and causes more distress than actual pain, which is not, as a rule, acute in ovarian cancer. Edema of the feet and legs occurs early and is a distinctive symptom of the disease. The gradual progressive loss of strength and weight is characteristic of malignancy, and cachexia is a comparatively early symptom. Death usually results from exhaustion or uremia. Physical Signs.--A bim...
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