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Cervical Polypi Exhibiting Decidual Changes. *
Author(s) -
Ferguson James Haig,
Young James
Publication year - 1911
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1911.tb12855.x
Subject(s) - citation , combinatorics , library science , mathematics , computer science
THE following case is of double interest. I n the first place, it concerns a patient from whom comparatively large cervical polypi were removed a t the third month of pregnancy; and, in the second place, it is of interest from the fact that the cervical tissue entering into the structure of the polypi had undergone a decidual change. The clinical particulars are as follows : There was a miscarriage 10 or 11 years ago at the second or third month. She had borne two full-time children-9 years and 7 years ago. I n the menstrual history there is nothing to note. From October 2 to 6, 1910, she had an attack simulating, according to the doctor in attendance, subacute appendicitis. This passed off with rest, dieting, enemata and hot fomentations. Late in November of the same year there was severe constipation. This led to a vaginal examination, when the uterus was found to be retroverted. It was replaced, and a Hodge pessary was inserted. A t this time there was no evidence of anything abnormal projecting from the cervix, For a fortnight or so she expressed herself as feeling practically well. She then, accordingto her doctor, " began to develop the signs and symptoms which have always accompanied her pregnancies : constant nausea, great thirst, marked constipation and a tendency to the blocked nasal passages always noticeable when she was pregnant." The last menstruation was a t the beginning of November. Early in February she complained of a slight bloody discharge, which continued for two days. On examination two soft polypoidal masses, together about the size of the little finger, were found projecting from the external 0s. These were removed by Dr. Haig Ferguson on the 12th of February. At the time all the signs of pregnancy between the third and fourth month were noted. On the 10th August 1911 the patient was safely delivered of a full-time child. Pathological Examination. Two different parts of the polypoidal mass were examined. They were found to possess characters somewhat resembling those presented by the ordinary polypi which develop from the glandular mucous membrane of the cervix (Fig. 1). The patient was 49 years old.