Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . lysis, the latter being re- J [ strained by blood-plasma. Why is the staining of the tissues, due to the haemolyticproperty of lipoid, more frequently demonstrated duringpregnancy than at other times ? No one who has examineda large series of myomas over a long series of years willdispute this fact. Despite the similarity in the micro-scopic characters of the differently coloured necroses, it ismost excusable and natural for clinicians to associate reddegeneration almost exclusively
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . lysis, the latter being re- J [ strained by blood-plasma. Why is the staining of the tissues, due to the haemolyticproperty of lipoid, more frequently demonstrated duringpregnancy than at other times ? No one who has examineda large series of myomas over a long series of years willdispute this fact. Despite the similarity in the micro-scopic characters of the differently coloured necroses, it ismost excusable and natural for clinicians to associate reddegeneration almost exclusively with pregnancy. Notonly is this change more common in the gravid state, but itis also generally complete. If pregnancy has proceeded farenough, the entire tumour is wont to be uniformly stainedwith blood-pigment, whereas in the absence of gestation orin the first half of pregnancy the change is, as a ru/e, only Plate XIX Figure 79. Showstotal red necrosis of amyoma in a nulliparousuterus. Removed froma tuberculous spinsteraged 36 years. Thepredominating clinicalfeature was extremetenderness over Figure 80. Sectionof a myoma, showing (A) area of necrosis (B) zone of hyaline degeneration ?ACE PAGE 73 (3) Plate XX
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