J. Williams
1887 The Lancet  
LECTURE III. GENTLEMEN,-Most of the cases given were perhaps too little advanced to manifest secondary growths discoverable by clinical investigation, and in only three of them was the disease watched to the end and a post-mortem examination made. In these the glands along the internal iliac vessels, and in one those along the spine, were cancerous. The sacro-uterine ligaments were not'affected in any of them, but the cellular tissue around the cervix and in the broad ligaments was diseased in
more » ... wo. Small cancerous masses are sometimes seen on the interior of the body of the uterus in cases of primary cancer of the cervix. These are sometimes spoken of as secondary deposits. It is, however, difficult to see how secondary deposits can be produced in the body of the uterus from a primary cancer of the cervix. Neither the arrangement of the bloodvessels nor that of the lymphatics can explain it, and it appears more reasonable to regard such formations as new growths from independent centres-such as I have described as occurring in the cervix itself. They are not often met with.
doi:10.1016/s0140-6736(02)23461-3 fatcat:myxdjt3vtbgrdbs52kfwqbwvda