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The solenoma of the female abdomen


, : The solenoma of the female abdomen. Rev Franc Gynecol Obstet 22(1): 1-14

The author applies the term solenoma (Gr. solen, tube or canal) to tumor growths found in connection with the uterus, fallopian tubes, or large intestine. According to the situation, they present totally different gross features, but all consist of (1) an epithelial element, which is the essential and fundamental component; and (2) non-striped muscle mixed with fibrous tissue or fibrous tissue alone. The epithelial portion is in the form of a tube or canal lined with 1 or 2 layers of cubical epithelium. It has a tendency to form cysts, which may attain a considerable size. When the muscular tissue is large in amount the tumor is usually solid and ill defined, the general appearance being that of a hypertrophied uterus. If the muscular tissue is absent or rudimentary and replaced by fibrous tissue, the tumor is small and often cystic; this is the type which occurs in the inguinal region in connection with the round ligament. If both the muscular and fibrous elements are practically absent, the tumor is cystic and is the type met with in the ovary and vagina. From the point of view of gross anatomy there are 2 varieties of solenoma, the solid and the cystic. In some cases the tumors are well defined; in others there is a tendency to invade the surrounding tissue. At other times the growth may form a polypoid mass within the cavity of the uterus. Thus are classified under one heading a number of neoplasms hitherto given many different names, such as adenomyoma, cysts of ovary or vagina, uterine polyp, etc.

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