th ten per cent iodoform
gauze, which may be bought in this strength. Remove this from the womb
about the third to the ninth day. The bowels should be kept open.

Diet.--Should be of milk or at least of liquids only. The patient can be
given whisky or brandy and 1/60 grain of strychnine every four hours if
needed.

MALIGNANT DISEASES OF THE WOMB.--Cancer or carcinoma is a malignant
disease of the neck (cervix) of the womb.

Causes.--The immediate cause is not yet known. Tears and erosions
(scraping off and making raw) are supposed to act as direct causes.

Symptoms.--Bleeding is the early and very important symptom. After the
change of life (menopause) is over if bleeding occurs and continues it is
a very bad sign and the womb should be examined immediately. Later, a
watery bloody discharge appears, with pain, loss of weight and general
weakness. Pain is not an early symptom. It appears when the disease has
spread to the nearby tissue.

Treatment.--The only thing to do is to operate and the earlier the better.
The womb and all its belongings should be removed. If this is done early
it is very successful. If the case is too far advanced, the only thing to
do is to make the patient as comfortable as possible.

For the pain, morphine or opium should be given.

For the discharge, hot water and corrosive sublimate (1 to 2000) is the
strength to be used. This should be used daily as an injection into the
vagina.

Cancer of the Body of the Womb is found in only about two per cent of womb
cancers.

Treatment.--An early operation is then necessary. The chances of obtaining
a cure if operation is done is better even than in cancer of the neck of
the womb. There is less chance for the adjoining structures to be affected
so early and readily.

[ WOMAN'S DEPARTMENT 501]

FIBROID TUMORS OF THE WOMB or Fibromata, Frequency.--Some observers state
that twenty to forty per cent of all women over thirty-five years have one
or more of these tumors. They are not malignant. They are more common in
women who are sterile, unable to become pregnant. They appear early in
life and attack all classes. They appear oftener in the body of the womb
than in the neck. When in the body of the womb the back wall is the common
site. A covering of loose fibrous tissue surrounds the growth. Few blood
vessels appear in the tumor, nourishment being received from the
surrounding tissues. Their growth is slow, except during pregnancy, when
they