A study of endometriosis, endosalpingiosis, endocervicosis, and peritoneo-ovarian sclerosis : a clinical and pathologic study / by James Robert Goodall.

  • Goodall, James Robert, 1877-1947.
Date:
1943
Catalogue details

Licence: In copyright

Credit: A study of endometriosis, endosalpingiosis, endocervicosis, and peritoneo-ovarian sclerosis : a clinical and pathologic study / by James Robert Goodall. Source: Wellcome Collection.

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    41 Uterine Endometriosis Uterine endometriosis can now be divided into two distinct, though often combined, expressions of the disease. They are: !. Endometrial intra-uterine endometriosis ['Mixed or .) Endometrioma 2. Parietal uterine endometriosis or Endometrioma [ Stromatous Mixed ^Stromatous A word of explanation is necessary. In endometrial endometriosis the most apparent pathology is a great overgrowth of the endometrium which often may assume great thickness. This overgrowth may be diffuse, involving the whole of the uterine mucosa; or it may be localized to a portion of the uterine lining, producing a definite tumor growth. It then becomes an endometrial endometrioma. It may be sessile or polypoidal. This endometrial overgrowth is generally composed of both the glandular and stromatous constituents of the endometrium in normal relations, but these two elements often lose their normal relative proportions and at times we may find such endometrial hyperplasia made up chiefly of glandular elements with a minimum of stroma, while in other cases the growth may be made up wholly of stroma cells. These two types were formerly designated as glandular and interstitial endometritis before their true pathology was known. And it may also be pointed out—a fact first noted in a previous paper —that nature by her own vis medicatrix strives, always within the limits of her reserve, to restore the vitiated function to the normal by cor¬ recting the underlying endocrinologic imbalance. As a consequence arrests and even spontaneous cures are common end-results.