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.

    19/48 (page 17)
    Although it is not within the scope of this article to insist [Gi] on the glandular character of the epithelial tubal tumors, certain facts may he pointed out. It is obvious that the five cases above cited as examples of growths that were removed during the transition between hyperplasia and tumor are very similar to proliferating papillary cystoma of the ovary. This similarity with ovarian tumors has been dwelt upon by many writers. Gebhard69 compares them with uterine carcinoma in the following words: “ Obwohl ich selbst, wie eingangs erwahnt, keine eigene Erfahrungen iiber das Tuben- carcinom besitze, so bin ich doch bei der Durchsicht der in der Litteratur niedergelegten Beschreibungcn des mikro- skopischen Yerhaltens dieser Geschwuslt zur uberzeugung gekommen, dass dieselbe histologisch durchaus mit dem malignen Adenom u. Adenocarcinom des Uteruskorpers auf eine Stufe zu stellen ist.” The classification of tubal carcinomata into purely papil- lary and papillo-alveolar by Sanger and Barth 00 is but a make- shift for adenocarcinoma; as Cullen says,01 concerning adeno- carcinoma of the uterus, “ I am strongly of the opinion that where the papillary arrangement is most marked, the growth has started in the surface epithelium; whereas it seems probable that when the gland-like arrangement is more pro- nounced, the process has started first in the glands. The simpler plan would be to consider all these merely as varia- tions in one disease.” Slavyanski02 would limit the term adenocarcinoma to the latter form of Sanger and Barth. He separates them into two forms—carcinoma papillo- matosa villosum and carcinoma cylindrocellulare seu adeno- carcinoma. From the description of the following case it may be seen that the view of Cullen relative to the two methods of growth in the adenocarcinoma of the uterus is equally applicable to tubal carcinomata; that there is a disposition to grow towards the lumen in the form of branching villi as well as outward into the muscular coat as sacs, diverticula or al- 59 L. c., p. 455. 60 L. C., p. 272. (17) 6' L. c., p. 360. 62 L. c., p. 116.