The case is one of carcinoma adenomatodes (adenoma malignum) cervicis uteri, which occurred, in a patient, aged 49. Vaginal hysterectomy was performed with the Pacquelin cautery, and the patient remains well after 22 years. Attention is drawn to the rarity of the disease, and the point is emphasized that in true cases of the disease the glandular epithelium is nowhere proliferated, and therefore reliance on microscopic examination alone for the diagnosis may lead to serious error.
References
1.
Ruge and Veit, Zeit. f. Geburtsh. u. Gyn., 1882, vii, p. 170 (Veit's second case; his first case contained solid epithelial strands).
2.
WilliamsJ., “Cancer of the Uterus,” 1888 (case xi, plate 7).
3.
Gebhabd (case i), Zeit. f. Geburtsh. u. Gyn.1895, xxxiii, p. 443.
4.
Schottlaender and Kermauner, “Zur Kenntnis des Uteruskarzinoms,” 1912 (case xiii, in which an early squamous carcinoma was also present).
5.
Knauss and Camerer, Zeit. f. Geburtsh. u. Gyn., 1896, xxxiv, p. 446.
6.
MccannF. J., “Malignant adenoma (carcinoma) of the cervix uteri,” Trans. Obst. Soc. Lond., (1898) 1899, xl, p. 2. The case is briefly reported : the growth was composed of tubules lined with a single layer of columnar epithelium. The patient died within six months of the operation (vaginal hysterectomy) with growths in the pelvic cellular tissue and (probably) in the liver. I had overlooked this case when the paper was read.
