VULVA 11
Introduction 11
Benign Tumors of Epithelial Origin 11
Papilloma 11
Condyloma Acuminatum 11
Pigmented Papilloma 11
Malignant Tumors of Epithelial Origin 14
Carcinoma in Situ 14
Bowen's Disease 14
Extramammary Paget's Disease 15
Melanoma 27
Relationship of Leukoplakic Vulvitis to Carcinoma 28
Carcinoma 29
Basal Cell Carcinoma 33
Tumors of Sweat Gland Origin 34
Hidradenoma 34
Tumors of Bartholin's Gland 40
Carcinoma 40
Sarcoma 41
Benign Tumors of Connective Tissue Origin 44
Fibroma 44
Lipoma 44
Hemangioma 44
Neurofibroma 44
Leiomyoma 44
Ganglioneuroma 45
Lymphangioma 45
Granular Cell Myoblastoma 45
Malignant Tumors of Connective Tissue Origin 45
Sarcoma 45
Endometriosis 47
Metastatic Tumors 47
URETHRA 49
Benign Tumors 49
Caruncle 49
Malignant Tumors 50
Carcinoma 50
Table Ⅰ 51
Melanoma 54
Sarcoma 54
VAGINA 56
Benigan Tumors of Epithelial Origin 56
Papilloma 56
Polyp 56
Cyst 56
Adenosia 56
Malignant Tumors of Epithelial Origin 57
Carcinoma 57
Endometriosis 64
Benign Tumors of Connective Tissue Origin 64
Leiomyoma 64
Other Benign Solid Tumors 64
Fibroma 64
Fibroleiomyoma 64
Granular Cell Myoblastoma (Myoblastic Myoma) 65
Miscellaneous Benign Tumors 65
Neurofibroma 65
Neuroepithelioma 65
Benign Cystic Teratoma (Dermoid Cyst) 65
Malignant Tumors of Connective Tissue Origin 70
Sarcoma 70
Melanoma 70
Secondary Tumors 71
References 74
Malignant Mixed Müllerian Tumors 78
References 84
CERVIX 86
Introduction 86
Conditions of Questionable Neoplastic Nature 86
Polyp 86
Papilloma 90
Squamous Cell Metaplasia 91
Leukoplakia of the Cervix 98
Carcinoma of Cervix 99
Squamous Cell Carcinoma in Situ 99
Relationship of Carcinoma in Situ to Carcinoma of the Cervix 100
Carcinoma in Situ during Pregnancy and the Puerperium 119
Squamous Cell Carcinoma 122
Carcinoma in the Cervical Stump 132
Biology of Cervical Carcinoma 132
Classification of Clinical Stages 132
Primary Tumor Radiosensitivity 135
Metastases to Lymph Nodes (Radiosensitivity) 142
Adenocarcinoma 143
Cervical Adenocarcinoma of Mesonephric (Wolffian) Origin 160
Carcinoma of the Cervix in Pregnancy 161
Tumors of Connective Tissue Origin 161
Leiomyoma 161
Leiomyosarcoma 161
Malignant Mixed Müllerian Tumors 161
Carcinosarcoma 161
Sarcoma Botryoides 171
Rare Tumors 171
Lymphoma 171
Hemangioma 171
Hemangioendothelioma 171
Ganglioneuroma 172
Malignant Melanoma 172
Metastatic Tumors 172
References 172
ENDOMYOMETRIUM 177
Benign Tumors of Endometrium 177
Endometrial Polyp 177
Placental Polyp 182
Malignant Tumors of Endometrium 183
Carcinoma 183
Relationship of Endometrial Hyperplasia to Carcinoma 185
Relationship of Carcinoma in Situ to Endometrial Carcinoma 201
Relationship of Abnormal Bleeding to Carcinoma of the Endometrium 202
Histochemistry of Normal,Potentially Malignant,and Malignant Endometrium 202
Clinical Staging of Endometrial Carcinoma 203
Relationship of Pyometra to Carcinoma of the Endometrium 222
Carcinosarcoma 223
Adenomyosis Uteri 224
Endolymphatic Stromal Myosis 230
Benign Tumors of Connective Tissue Origin 234
Leiomyoma 234
Hemangiopericytoma 235
Lipoma 235
"Benign Metastasizing Leiomyoma" 246
Malignant Tumors of Connective Tissue Origin 246
Sarcoma 246
Table Ⅱ 247
Leiomyosarcoma 247
Endometrial Stromal Sarcoma 252
Metastatic Tumors 257
References 258
PELVIC SUPPORTING TISSUES 262
Introduction 262
Rests,Cysts,and Tumors of Mesonephric (Wolffian) and Paramesonephric (Müllerian) Origin 262
Mesonephric (Wolffian) Rests 262
Paramesonephric (Müllerian) Rests 262
Cystic Derivatives of Mesonephric and Paramesonephric Structures in the Broad Ligament 263
Neoplasma of Mesonephric (Wolffian) Origin in the Broad Ligament 274
Neoplasms of Paramesonephric (Müllerian) Origin in the Broad Ligament 274
Mesonephric Rests in the Cervix 274
Mesonephric (Gartner's) Duct Rests of the Vagina 275
References 275