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Abstract
Red degeneration of uterine myomas is considered in the light of what is known of
the blood vessels of the myoma. It seems clear that red degeneration is a hemorrhagic
infarction of a previously hyalinized myoma. Venous obstruction which has to be at
the periphery of the tumor is put forth as the vascular accident which best explains
this pathologic entity.
It is emphasized that the time the tumor is seen as related to the vascular accident
governs the specific pathologic findings.
In the nonpregnant uterus red myomas are usually 10 cm. or more in diameter before
there are symptoms or signs enough to make their preoperative diagnosis very certain.
Conservative medical treatment of the acute phases of red degeneration is feasible
when the diagnosis is clear and in pregnancy highly desirable.
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References
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Haultain, F.W.N. Albutt and Playfair's System of Gynecology. Quoted by Fairbairn.
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Article Info
Footnotes
☆Read at the Fifty-Seventh Annual Meeting of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons, Hot Springs, Va., Sept. 5 to 7, 1946.
Identification
Copyright
© 1947 Published by Elsevier Inc.
